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[纳洛酮与临床麻醉]

[Naloxone and clinical anesthesia].

作者信息

Romano E, Gullo A, Simoniti P

出版信息

Minerva Anestesiol. 1982 Jan-Feb;48(1-2):47-50.

PMID:7078752
Abstract

The narcotic-antagonist properties of naloxone make it useful in cases of postoperative respiratory depression arising after morphine, the various forms of LAN, or extra- and subdural anaesthesia with narcotics. The dose should be adapted to the individual patient, since the drug has certain drawbacks (heart rate disturbances, hypertension crises). The following guidelines are suggested: 1) administration of 0.1 mg increments i.v. until autonomous breathing is restored; 2) administration of 50% of the initial dose i.m. afer 30'; 3) keep the patient under observation for at least 4-6 hr from the end of the operation.

摘要

纳洛酮的麻醉拮抗特性使其在吗啡、各种形式的左旋安非他明或使用麻醉剂的硬膜外和硬膜下麻醉后出现的术后呼吸抑制情况中很有用。由于该药物有某些缺点(心率紊乱、高血压危象),剂量应根据个体患者进行调整。建议遵循以下指导原则:1)静脉注射0.1毫克递增剂量,直至自主呼吸恢复;2)30分钟后肌肉注射初始剂量的50%;3)从手术结束起至少观察患者4至6小时。

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