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静脉注射氨茶碱治疗哮喘。儿童两种给药方法的比较。

Intravenous aminophylline therapy for asthma. A comparison of two methods of administration in children.

作者信息

Goldberg P, Leffert F, Gonzalez M, Gogenola L, Zerbe G O

出版信息

Am J Dis Child. 1980 Jun;134(6):596-9. doi: 10.1001/archpedi.1980.02130180054016.

Abstract

Eleven asthmatic children were given intravenous aminophylline by two methods of administration: a 6 mg/kg loading dose followed by a 1.4 mg/kg/hr continuous infusion, or a bolus of 4 mg/kg given every four hours. Expiratory flow rates (forced expiratory volume at 1 s and expiratory flow at 50% of vital capacity) were recorded at intervals for 24 hours with each regimen. Although the intermittent administration of aminophylline produced a substantial improvement, there was a significantly greater pulmonary response to continuous infusion.

摘要

11名哮喘儿童通过两种给药方法接受静脉注射氨茶碱:一种是先给予6mg/kg的负荷剂量,然后以1.4mg/kg/小时的速度持续输注;另一种是每4小时给予4mg/kg的大剂量注射。每种给药方案下,每隔一段时间记录24小时的呼气流量(1秒用力呼气量和肺活量50%时的呼气流量)。虽然氨茶碱的间歇给药产生了显著改善,但持续输注对肺部的反应明显更大。

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