Fehér J, Vásárhelyi B, Blázovics A
Semmelweis Orvostudományi Egyetem, II. sz. Belgyógyászati Klinika, Budapest.
Orv Hetil. 1993 Aug 15;134(33):1795-8.
The greatest disadvantage of the halothane, widely used in the anaesthesiology is its ability to cause liver damage. After halothane anaesthesia mild liver enzyme elevation in the one fifth of the patients was detected. The incidence of fatal halothane hepatitis is rare. It depends on several risk factors: on the genetic predisposition, repeated halothane anaesthetics, female sex, age of patient, obesity, intrahepatic hypoxia and enzyme induction. In the pathophysiology of liver toxicity the metabolism of halothane and immune functions play an important role. In this review the last results of researches concerning to the hepatotoxicity of halothane are summarised and the authors call the attention on the opportunity of its effective prevention.
氟烷在麻醉学中广泛应用,其最大缺点是具有导致肝损伤的能力。氟烷麻醉后,五分之一的患者检测到轻度肝酶升高。致命性氟烷肝炎的发生率很低。它取决于几个风险因素:遗传易感性、重复使用氟烷麻醉、女性、患者年龄、肥胖、肝内缺氧和酶诱导。在肝毒性的病理生理学中,氟烷的代谢和免疫功能起着重要作用。本文综述了有关氟烷肝毒性的最新研究结果,并提请注意其有效预防的可能性。