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新型磷酸二酯酶抑制剂R80122对冠状动脉搭桥手术患者肝脏及整体血流动力学的影响。

Effects of R80122, a new phosphodiesterase inhibitor, on liver and global haemodynamics in patients undergoing coronary artery bypass surgery.

作者信息

Autschbach R, Lange H, Stephan H, Mohr F W, Becker B, Sonntag H

机构信息

Department of Cardiovascular and Thoracic Surgery, University of Goettingen, Germany.

出版信息

Cardiovasc Surg. 1994 Dec;2(6):698-702.

PMID:7858987
Abstract

R80122 (0.3 mg/kg body weight), a new phosphodiesterase inhibitor, was tested in ten patients undergoing coronary artery bypass surgery. Haemodynamic measurements were made and hepatic blood flow assessed by the indocyanine green infusion method using liver vein catheterization. Cardiac index increased by 63% and systemic vascular resistance decreased by 47%. Hepatic blood flow and intestinal vascular resistance were not significantly affected; nor was hepatic oxygen consumption. It is concluded that R80122 is a highly cardioselective phosphodiesterase inhibitor and that the reduction in systemic vascular resistance by this drug is not an effect of extensive intestinal vasodilatation.

摘要

新型磷酸二酯酶抑制剂R80122(0.3毫克/千克体重)在10例接受冠状动脉搭桥手术的患者身上进行了测试。通过使用肝静脉导管插入术的吲哚菁绿输注法进行血流动力学测量并评估肝血流量。心脏指数增加了63%,全身血管阻力降低了47%。肝血流量和肠道血管阻力未受到显著影响;肝氧耗量也未受影响。结论是,R80122是一种高度心脏选择性的磷酸二酯酶抑制剂,该药物导致的全身血管阻力降低并非广泛肠道血管舒张的结果。

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