Al-Jibouri L M, Furman B L, Parratt J R
Br J Pharmacol. 1980 Mar;68(3):461-6. doi: 10.1111/j.1476-5381.1980.tb14559.x.
1 The effects of adrenoceptor blocking drugs on the metabolic responses to adrenaline infusion (1 microgram kg-1 min-1) have been studied in the anaesthetized, fasted cat. 2 Propranolol, in doses (0.25 or 1 mg/kg) which prevented completely adrenaline-induced tachycardia, reduced but did not abolish adrenaline-induced hyperglycaemia. 3 Phentolamine infusion, at a rate (15 micrograms kg-1 min-1 after a priming dose of 2.5 mg/kg) which reversed the pressor effect of adrenaline, reduced but did not abolish adrenaline-induced hyperglycaemia. 4 The continuous infusion of a combination of phentolamine (15 micrograms kg-1 min-1 after a priming dose of 2.5 mg/kg) and propranolol (5 micrograms kg-1 min-1 after a priming dose of 0.25 mg/kg) prevented completely the hyperglycaemia response to adrenaline infusion over a 6 h period. 5 The increase in blood lactate concentration produced by adrenaline was prevented completely by the combined infusion of propranolol and phentolamine but was not modified by phentolamine alone.
已在麻醉的禁食猫身上研究了肾上腺素能受体阻断药物对肾上腺素输注(1微克/千克/分钟)引起的代谢反应的影响。
普萘洛尔剂量(0.25或1毫克/千克)能完全防止肾上腺素引起的心动过速,可减轻但不能消除肾上腺素引起的高血糖症。
酚妥拉明以一定速率输注(首剂2.5毫克/千克后为15微克/千克/分钟)可逆转肾上腺素的升压作用,能减轻但不能消除肾上腺素引起的高血糖症。
连续输注酚妥拉明(首剂2.5毫克/千克后为15微克/千克/分钟)和普萘洛尔(首剂0.25毫克/千克后为5微克/千克/分钟)的组合,在6小时内可完全防止对肾上腺素输注的高血糖反应。
普萘洛尔和酚妥拉明联合输注可完全防止肾上腺素引起的血乳酸浓度升高,但单独使用酚妥拉明则无此作用。