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[利多卡因在循环衰竭患者中的药代动力学特征]

[Pharmacokinetic characteristics of lidocaine in patients with circulatory failure].

作者信息

Kukes V G, Gneushev E T, Utlinskaia M G, Burian E F, Starodubtsev A K

出版信息

Farmakol Toksikol. 1981 Jul-Aug;44(4):447-50.

PMID:7286204
Abstract

It has been shown with special reference to 35 patients suffering from myocardial infarction, atherosclerotic cardiosclerosis and rheumatic heart diseases associated with varying degrees of circulatory insufficiency that the final amount of distribution and halflife of lidocaine directly correlated with the cardiac index. A formula has been suggested for calculating the amount of distribution of the drug on the basis of the cardiac index. It has been demonstrated that the formula can be used for the development of therapeutically effective lidocaine concentration in the patients' blood.

摘要

针对35例患有心肌梗死、动脉粥样硬化性心肌病和风湿性心脏病并伴有不同程度循环功能不全的患者进行研究,结果表明利多卡因的最终分布量和半衰期与心脏指数直接相关。已提出一个根据心脏指数计算该药物分布量的公式。已证明该公式可用于确定患者血液中具有治疗效果的利多卡因浓度。

相似文献

1
[Pharmacokinetic characteristics of lidocaine in patients with circulatory failure].[利多卡因在循环衰竭患者中的药代动力学特征]
Farmakol Toksikol. 1981 Jul-Aug;44(4):447-50.
2
[Lidocaine elimination and dose adjustment in acute heart infarct and heart insufficiency].
Z Gesamte Inn Med. 1984 Jul 15;39(14):335-42.
3
Variability of early lidocaine levels in patients.患者早期利多卡因水平的变异性。
Am Heart J. 1977 Sep;94(3):292-6. doi: 10.1016/s0002-8703(77)80471-7.
4
[Prevention, clinical aspects and therapy of the side-effects of lidocaine].[利多卡因副作用的预防、临床方面及治疗]
Z Gesamte Inn Med. 1984 Oct 15;39(20):501-5.
5
[Slower lidocaine elimination and dose adjustment in patients with heart failure].
Schweiz Med Wochenschr. 1982 May 29;112(22):789-91.
6
[Plasma level of lidocaine following intraoperative bolus injection and infusion in heart failure].
Anasth Intensivther Notfallmed. 1984 Oct;19(5):250-2.
7
[Comparative studies on dose adjustment of intraoperative lidocaine therapy in heart failure patients].
Anasth Intensivther Notfallmed. 1985 Jun;20(3):136-8.
8
[Time organization of blood coagulation in patients with rheumatic heart disease involving circulation insufficiency].[风湿性心脏病合并循环功能不全患者的血液凝固时间组织]
Klin Med (Mosk). 1996;74(8):25-9.
9
[Efficacy of cardiac glycosides in circulatory insufficiency].
Vrach Delo. 1969 Nov;11:39-42.
10
Lidocaine blood levels in patients with acute myocardial infarction.急性心肌梗死患者的利多卡因血药浓度
Pa Med. 1973 Mar;76(3):57-9.