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抗心律失常药物(维拉帕米、普萘洛尔和利多卡因)对用氟烷麻醉的犬肾上腺素诱发心律失常时心电图和血液学的影响。

Effects of antiarrhythmic drugs (verapamil, propranolol and lignocaine) on the electrocardiogram and haematology in adrenaline-induced arrhythmias in dogs anaesthetized with halothane.

作者信息

Kitaa J M, Mitema E S

机构信息

Department of Public Health, Pharmacology and Toxicology, University of Nairobi, Faculty of Veterinary Medicine, Kenya.

出版信息

Br Vet J. 1994 Jul-Aug;150(4):365-76. doi: 10.1016/s0007-1935(05)80153-8.

Abstract

Twenty adult (1-3 year old) mongrel dogs of either sex were used to study the effects of antiarrhythmic drugs in adrenaline-induced arrhythmias. The dogs were divided randomly into four groups of five dogs each (n = 5), anaesthetized with halothane and pretreated intravenously (i.v.) with verapamil 0.1 mg kg-1, propranolol 0.06 mg kg-1, or lignocaine 4 mg kg-1 while the controls received sterile physiological saline. Adrenaline (4 micrograms kg-1) was administered i.v. 10 min after drug pretreatments. Lead II of the ECG was recorded and blood collected for haematology. Ventricular fibrillations preceded by ventricular tachycardia occurred in the control dogs and three died within one minute of adrenaline administration. The predominant arrhythmias were ventricular premature beats, ventricular tachycardia, and second degree heart block. A significant increase (P < 0.05) in T wave amplitude was observed in the control group from 0.16 +/- 0.05 mV to 0.43 +/- 0.09 mV while only minimal increases were noted in the drug pretreated groups and there were no deaths. Data obtained from this study suggest that verapamil when administered early compares well with propranolol in the control of adrenaline-induced ventricular arrhythmias in the dog. Lignocaine when administered early prior to the induction of the arrhythmias protected against death but not arrhythmias. Drug pretreatments did not have any clinically significant effects on electrocardiographic parameters.

摘要

选用20只成年(1 - 3岁)杂种犬(雌雄不限)来研究抗心律失常药物对肾上腺素诱发心律失常的影响。将这些犬随机分为四组,每组五只(n = 5),用氟烷麻醉,静脉注射维拉帕米0.1 mg/kg、普萘洛尔0.06 mg/kg或利多卡因4 mg/kg进行预处理,而对照组则接受无菌生理盐水。药物预处理10分钟后静脉注射肾上腺素(4 μg/kg)。记录心电图的II导联并采集血液进行血液学检查。对照组犬出现室性心动过速后发生心室颤动,三只犬在注射肾上腺素后一分钟内死亡。主要心律失常为室性早搏、室性心动过速和二度房室传导阻滞。对照组T波振幅从0.16±0.05 mV显著增加(P < 0.05)至0.43±0.09 mV,而药物预处理组仅观察到极小的增加,且无死亡发生。本研究获得的数据表明,早期给予维拉帕米在控制犬肾上腺素诱发的室性心律失常方面与普萘洛尔效果相当。在心律失常诱发前早期给予利多卡因可预防死亡,但不能预防心律失常。药物预处理对心电图参数没有任何临床显著影响。

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