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麻醉犬体内普萘洛尔的首过肺摄取增加。

First-pass lung uptake of propranolol enhanced in anaesthetized dogs.

作者信息

Pang J A, Williams T R, Blackburn J P, Butland R J, Geddes D M

出版信息

Br J Anaesth. 1981 Jun;53(6):601-4. doi: 10.1093/bja/53.6.601.

DOI:10.1093/bja/53.6.601
PMID:7018538
Abstract

Uptake of 14C-propranolol after a single passage through the pulmonary circulation was studied in three groups of Labrador dogs using a double indicator dilution method. Uptake in conscious, ambulant animals was 53%. This increased to 81% in dogs anaesthetized with thiopentone, nitrous oxide and halothane and to 64% in dogs anaesthetized with thiopentone, nitrous oxide and fentanyl. Interaction between lipid-soluble anaesthetic agents and pulmonary endothelial cell membranes may be an important factor in increasing lung uptake of lipophilic propranolol, although alteration in pulmonary perfusion associated with a reduction in cardiac output during general anaesthesia may play a part. The pharmacological effects of propranolol administered i.v. during general anaesthesia may be unpredictable.

摘要

使用双指示剂稀释法,在三组拉布拉多犬中研究了14C-普萘洛尔单次通过肺循环后的摄取情况。清醒、活动的动物摄取率为53%。用硫喷妥钠、氧化亚氮和氟烷麻醉的犬摄取率增至81%,用硫喷妥钠、氧化亚氮和芬太尼麻醉的犬摄取率增至64%。脂溶性麻醉剂与肺内皮细胞膜之间的相互作用可能是增加亲脂性普萘洛尔肺摄取的一个重要因素,尽管全身麻醉期间与心输出量减少相关的肺灌注改变可能也起一定作用。全身麻醉期间静脉注射普萘洛尔的药理作用可能无法预测。

相似文献

1
First-pass lung uptake of propranolol enhanced in anaesthetized dogs.麻醉犬体内普萘洛尔的首过肺摄取增加。
Br J Anaesth. 1981 Jun;53(6):601-4. doi: 10.1093/bja/53.6.601.
2
Propranolol uptake by dog lung: effect of pulmonary artery occlusion and shock lung.普萘洛尔在犬肺中的摄取:肺动脉闭塞和休克肺的影响。
J Appl Physiol Respir Environ Exerc Physiol. 1982 Feb;52(2):393-402. doi: 10.1152/jappl.1982.52.2.393.
3
First pass uptake of 14C-propranolol by the lung.肺对14C-普萘洛尔的首过摄取。
Thorax. 1979 Dec;34(6):810-3. doi: 10.1136/thx.34.6.810.
4
Effect of propranolol on the first pass uptake of fentanyl in the human and rat lung.普萘洛尔对人及大鼠肺脏中芬太尼首过摄取的影响。
Anesthesiology. 1989 Jul;71(1):62-8. doi: 10.1097/00000542-198907000-00012.
5
Comparison of the effects of isoflurane or fentanyl-nitrous oxide anaesthesia on propranolol disposition in dogs.异氟烷或芬太尼-氧化亚氮麻醉对犬体内普萘洛尔处置影响的比较。
Br J Anaesth. 1988 Jun;60(7):791-6. doi: 10.1093/bja/60.7.791.
6
Lidocaine increases lung uptake of propranolol.利多卡因会增加肺对普萘洛尔的摄取。
Lung. 1986;164(3):173-83. doi: 10.1007/BF02713641.
7
Anesthesia with halothane and nitrous oxide alters protein and amino acid metabolism in dogs.氟烷和氧化亚氮麻醉会改变犬类的蛋白质和氨基酸代谢。
Anesthesiology. 1988 Sep;69(3):319-26. doi: 10.1097/00000542-198809000-00006.
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Effects of atelectasis and vascular occlusion on the simultaneous measurement of serotonin and propranolol pulmonary extraction in dogs.肺不张和血管闭塞对犬类血清素和普萘洛尔肺摄取同步测量的影响。
Clin Sci (Lond). 1985 Sep;69(3):279-86. doi: 10.1042/cs0690279.
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Interactions of beta-receptor blockade and PCO2 levles in the anaesthetized dog.
Br J Anaesth. 1974 Jun;46(6):397-404. doi: 10.1093/bja/46.6.397.
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Haemodynamic interactions of high-dose propranolol pretreatment and anaesthesia in the dog. II: The effects of acute arterial hypoxaemia at increasing depths of halothane anaesthesia.
Br J Anaesth. 1976 May;48(5):403-10. doi: 10.1093/bja/48.5.403.

引用本文的文献

1
The biochemical properties of the pulmonary circulation.肺循环的生化特性。
Lung. 1981;159(5):231-42. doi: 10.1007/BF02713921.
2
Lidocaine increases lung uptake of propranolol.利多卡因会增加肺对普萘洛尔的摄取。
Lung. 1986;164(3):173-83. doi: 10.1007/BF02713641.