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接受琥珀酰胆碱的患者中阿托品和加拉明对心脏的影响。

Cardiac effects of atropine and gallamine in patients receiving suxamethonium.

作者信息

Viby-Mogensen J, Wisborg K, Sørensen O

出版信息

Br J Anaesth. 1980 Nov;52(11):1137-42. doi: 10.1093/bja/52.11.1137.

DOI:10.1093/bja/52.11.1137
PMID:7426219
Abstract

Eighty healthy patients were randomly allocated to four groups. Atropine 0.01 mg kg-1 i.v. (group I), gallamine 0.3 mg kg-1 i.v. (group II), atropine 0.01 mg kg-1 i.m. and gallamine 0.3 mg kg-1 i.v. (group III), or atropine 0.01 mg kg-1 i.v. and gallamine 0.3 mg kg-1 i.v. (group IV) were given before operation. After induction of anesthesia with thiopentone, suxamethonium 1 mg kg-1 was given i.v. The lungs were ventilated with halothane in nitrous oxide in oxygen. Five minutes later the same dose of suxamethonium was repeated. E.c.g. was monitored continuously. No serious bradycardia was observed following a second injection of suxamethonium in any group. The results suggest that thiopentone protects against suxamethonium-induced bradycardia during halothane anaesthesia.

摘要

80名健康患者被随机分为四组。术前分别给予:静脉注射0.01mg/kg阿托品(第一组)、静脉注射0.3mg/kg加拉明(第二组)、肌肉注射0.01mg/kg阿托品及静脉注射0.3mg/kg加拉明(第三组)、静脉注射0.01mg/kg阿托品及静脉注射0.3mg/kg加拉明(第四组)。用硫喷妥钠诱导麻醉后,静脉注射1mg/kg琥珀酰胆碱。在氧化亚氮-氧气中用氟烷对肺部进行通气。5分钟后重复给予相同剂量的琥珀酰胆碱。持续监测心电图。在任何一组中,第二次注射琥珀酰胆碱后均未观察到严重心动过缓。结果表明,在氟烷麻醉期间,硫喷妥钠可预防琥珀酰胆碱诱导的心动过缓。

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Cardiac effects of atropine and gallamine in patients receiving suxamethonium.接受琥珀酰胆碱的患者中阿托品和加拉明对心脏的影响。
Br J Anaesth. 1980 Nov;52(11):1137-42. doi: 10.1093/bja/52.11.1137.
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引用本文的文献

1
Atropine and succinylcholine: beliefs and controversies in paediatric anaesthesia.阿托品与琥珀酰胆碱:小儿麻醉中的观点与争议
Can J Anaesth. 1995 Jan;42(1):1-7. doi: 10.1007/BF03010562.
2
Cardiac effects of self-taming of succinylcholine and repeated succinylcholine administration.琥珀酰胆碱自身减敏及重复给药对心脏的影响。
Can Anaesth Soc J. 1982 Nov;29(6):577-80. doi: 10.1007/BF03007744.
3
Effect of atropine on bradydysrhythmias induced by succinylcholine following pretreatment with D-tubocurarine.用筒箭毒碱预处理后,阿托品对琥珀酰胆碱诱发的缓慢性心律失常的影响。
Can Anaesth Soc J. 1982 Nov;29(6):573-6. doi: 10.1007/BF03007743.
4
The heart rate response to succinylcholine in children: a comparison of atropine and glycopyrrolate.儿童对琥珀酰胆碱的心率反应:阿托品与格隆溴铵的比较。
Can Anaesth Soc J. 1983 Jul;30(4):377-81. doi: 10.1007/BF03007860.
5
Cardiovascular effects of nondepolarizing relaxants employed for pretreatment prior to succinylcholine.琥珀酰胆碱预处理中使用的非去极化肌松药的心血管效应。
Can Anaesth Soc J. 1984 Jan;31(1):13-9. doi: 10.1007/BF03011477.