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动脉导管闭合的研究。十二。吲哚美辛和水杨酸钠对大鼠和家兔的宫内影响。

Studies on closure of the ductus arteriosus. XII. In utero effect of indomethacin and sodium salicylate in rats and rabbits.

作者信息

Sharpe G L, Larsson K S, Thalme B

出版信息

Prostaglandins. 1975 Apr;9(4):585-96. doi: 10.1016/0090-6980(75)90064-7.

Abstract

Administration of prostaglandin synthetase inhibitors to pregnant does and dams in late gestation was followed by in utero contraction of the fetal ductus arteriosus when studied by the whole-body freezing method. In the rat this contraction was well established within 6 h and persisted up to 36 h following 15 mg/kg indomethacin p.o. No effect was observed in the 18 d rat fetus but fetuses at 20 d and 22 d of gestation responded significantly to indomethacin. Doses of indomethacin approaching clinical usage (2.5 mg/kg also caused a positive response in utero. The rat was found to be sensitive also to sodium salicylate and in the rabbit both indomethacin and sodium salicylate were effective. Exposure in utero to prostaglandin synthetase inhibitors with resulting contraction of the ductus may seriously disturb cardiac function in the fetus.

摘要

当采用全身冷冻法进行研究时,在妊娠后期给怀孕母羊和母鼠施用前列腺素合成酶抑制剂后,胎儿动脉导管会在子宫内收缩。在大鼠中,口服15mg/kg吲哚美辛后,这种收缩在6小时内就已充分形成,并持续长达36小时。在18天龄的大鼠胎儿中未观察到影响,但妊娠20天和22天的胎儿对吲哚美辛有显著反应。接近临床用量的吲哚美辛剂量(2.5mg/kg)在子宫内也引起了阳性反应。发现大鼠对水杨酸钠也敏感,在兔子中,吲哚美辛和水杨酸钠均有效。子宫内接触前列腺素合成酶抑制剂并导致动脉导管收缩可能会严重干扰胎儿的心脏功能。

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