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维生素B1(硫胺素)对猫心血管系统的作用。

The action of vitamin B1 (thiamine) on the cardiovascular system of the cat.

作者信息

Freye E, Agoutin H

出版信息

Biomedicine. 1978 Dec;28(6):315-9.

PMID:747722
Abstract

Vitamin B1 administered in a high dose (160 mg/kg) parenterally is known to cause neuromuscular and ganglionic blockade. The effects on the cardiovascular system however have not been sufficiently investigated. In artificially ventilated cats under light ethrane-anesthesia, following parameters were measured continuously before and after B1 administration : Left ventricular pressure, left ventricular end-diastolic pressure, LV dP/dt max, electrocardiogram, heart rate, central venous pressure, and peripheral blood pressure (systolic, diastolic, mean). The data indicate a three-phase reaction after B1 injection : Phase 1--shortly after injection there is a drop of all parameters lasting for 30 sec. The LVEDP showed no change while CVP increased. The drop could not be eliminated by the pretreatment with antihistaminiergic or anticholinergic drug. Sequential stimulation with norepinephrine was able to re-establish base-line values. In Phase 2 (two minutes after injection) all parameters return to their control values ; except CVP which stays elevated. Phase 3 (around the 7th minute after injection) shows a gradual decrease of all parameters; CVP returns to control values. It is suggested that phase 1 represents an immediate alpha-blockade, phase 2 reveals a compensatory reflex mechanism, and phase 3 shows full ganglionic blockade.

摘要

已知大剂量(160毫克/千克)胃肠外给予维生素B1会导致神经肌肉和神经节阻滞。然而,其对心血管系统的影响尚未得到充分研究。在浅乙醚麻醉下人工通气的猫中,在给予维生素B1之前和之后连续测量以下参数:左心室压力、左心室舒张末期压力、左心室压力最大上升速率、心电图、心率、中心静脉压和外周血压(收缩压、舒张压、平均压)。数据表明维生素B1注射后有三相反应:第一阶段——注射后不久所有参数下降,持续30秒。左心室舒张末期压力无变化,而中心静脉压升高。用抗组胺药或抗胆碱能药物预处理不能消除这种下降。用去甲肾上腺素连续刺激能够重新建立基线值。在第二阶段(注射后两分钟),所有参数恢复到对照值;除中心静脉压持续升高外。第三阶段(注射后约7分钟)显示所有参数逐渐下降;中心静脉压恢复到对照值。提示第一阶段代表即刻α受体阻滞,第二阶段揭示代偿性反射机制,第三阶段显示完全性神经节阻滞。

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