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筛选某些麻醉剂,以检测其在易感患者中引发急性卟啉病发作的能力。

Screening of certain anaesthetic agents for their ability to elicit acute porphyric phases in susceptible patients.

作者信息

Blekkenhorst G H, Harrison G G, Cook E S, Eales L

出版信息

Br J Anaesth. 1980 Aug;52(8):759-62. doi: 10.1093/bja/52.8.759.

DOI:10.1093/bja/52.8.759
PMID:7426253
Abstract

The activity of delta-aminolaevulinic acid synthetase (E.C. 2.3.1.37) (ALA-S) was measured in rat liver after the simultaneous administration of various anesthetic agents and 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) in vivo. Flunitrazepam, Althesin and phenobarbitone caused a significant increase in the activity of the enzyme which was not observed with propanidid, etomidate and minaxolone. It is suggested that DDC-treated rat, which resembles latent human variegate porphyria, may be a more valid method of testing drugs for their ability to elicit acute porphyric phases in susceptible individuals. The anaesthetic agents which induced the activity of hepatic ALA-S in this model are not recommended in patients with genetic hepatic porphyria.

摘要

在大鼠体内同时给予各种麻醉剂和3,5-二乙氧羰基-1,4-二氢可力丁(DDC)后,测定大鼠肝脏中δ-氨基乙酰丙酸合成酶(E.C. 2.3.1.37)(ALA-S)的活性。氟硝西泮、阿法沙龙和苯巴比妥可使该酶的活性显著增加,而丙泮尼地、依托咪酯和米那索龙则未观察到这种情况。有人提出,经DDC处理的大鼠类似于潜在的人类杂合性卟啉症,可能是一种更有效的方法,用于测试药物在易感个体中引发急性卟啉症阶段的能力。在该模型中诱导肝脏ALA-S活性的麻醉剂不推荐用于遗传性肝卟啉症患者。

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Screening of certain anaesthetic agents for their ability to elicit acute porphyric phases in susceptible patients.筛选某些麻醉剂,以检测其在易感患者中引发急性卟啉病发作的能力。
Br J Anaesth. 1980 Aug;52(8):759-62. doi: 10.1093/bja/52.8.759.
2
The effect of beta-adrenergic blocking agents on experimental porphyria induced by 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) in vivo and in vitro.β-肾上腺素能阻滞剂对3,5-二乙氧羰基-1,4-二氢可力丁(DDC)体内外诱导的实验性卟啉病的影响。
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Porphyrinogenicity of etomidate and ketamine as continuous infusions. Screening in the DDC-primed rat model.依托咪酯和氯胺酮持续输注的致卟啉原性。在DDC预致敏大鼠模型中的筛选。
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Effect of certain anaesthetic agents on the activity of rat hepatic delta-aminolaevulinate synthase.某些麻醉剂对大鼠肝脏δ-氨基-γ-酮戊酸合酶活性的影响。
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[Drugs for intravenous induction of anesthesia: barbiturates].[静脉诱导麻醉药物:巴比妥类药物]
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Acute intermittent porphyria and intracranial aneurysm: therapeutic considerations.急性间歇性卟啉病与颅内动脉瘤:治疗考量
Acta Neurochir (Wien). 1981;57(1-2):33-6. doi: 10.1007/BF01665110.
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Induction of anaesthesia with ketamine during an acute crisis of hereditary coproporphyria.在遗传性粪卟啉病急性发作期用氯胺酮诱导麻醉。
Can J Anaesth. 1987 Jul;34(4):388-90. doi: 10.1007/BF03010140.
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Can J Anaesth. 1992 Mar;39(3):282-5. doi: 10.1007/BF03008790.
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Adverse effects of general anaesthetics.全身麻醉药的不良反应。
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