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对接受镭疗的宫颈癌女性患者重复接触氟烷或安氟醚后肝细胞功能的前瞻性研究。

A prospective study of hepatocellular function after repeated exposures to halothane or enflurane in women undergoing radium therapy for cervical cancer.

作者信息

Allen P J, Downing J W

出版信息

Br J Anaesth. 1977 Oct;49(10):1035-9. doi: 10.1093/bja/49.10.1035.

DOI:10.1093/bja/49.10.1035
PMID:921868
Abstract

Ninety-nine Black females receiving radium therapy for carcinoma of the cervix uteri under either halothane (50 patients) or enflurane (49 patients) anaesthesia were studied. Thirty-six received a second and 13 a third exposure to halothane or enflurane. There were no significant changes from the control values in the serum concentrations of aspartate aminotransferase (s.g.o.t.), gamma glutamyl transpeptidase (gammaGT), lactic dehydrogenase (SLD), alkaline phosphatase (SAP) and proteins. Total serum bilirubin (TSB) decreased significantly during the first exposure to enflurane (P less than 0.01). This trend was reversed with subsequent anaesthetics in both the halothane and enflurane groups.

摘要

对99名接受子宫颈癌镭疗的黑人女性进行了研究,她们分别在氟烷(50例)或恩氟烷(49例)麻醉下接受治疗。36名患者接受了第二次、13名患者接受了第三次氟烷或恩氟烷暴露。天冬氨酸转氨酶(s.g.o.t.)、γ-谷氨酰转肽酶(γGT)、乳酸脱氢酶(SLD)、碱性磷酸酶(SAP)和蛋白质的血清浓度与对照值相比无显著变化。首次暴露于恩氟烷期间,总血清胆红素(TSB)显著下降(P<0.01)。在氟烷和恩氟烷组中,随着后续麻醉剂的使用,这种趋势发生了逆转。

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1
A prospective study of hepatocellular function after repeated exposures to halothane or enflurane in women undergoing radium therapy for cervical cancer.对接受镭疗的宫颈癌女性患者重复接触氟烷或安氟醚后肝细胞功能的前瞻性研究。
Br J Anaesth. 1977 Oct;49(10):1035-9. doi: 10.1093/bja/49.10.1035.
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引用本文的文献

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Comparison of postoperative liver dysfunction following halothane and sevoflurane anesthesia in women undergoing mastectomy for cancer.接受乳腺癌乳房切除术的女性中,氟烷和七氟烷麻醉术后肝功能障碍的比较。
J Anesth. 1995 Jun;9(2):129-134. doi: 10.1007/BF02479843.
2
Effects of repeat exposure to inhalation anesthetics on liver and renal function.重复接触吸入性麻醉剂对肝脏和肾脏功能的影响。
J Anaesthesiol Clin Pharmacol. 2013 Jan;29(1):83-7. doi: 10.4103/0970-9185.105809.
3
Retrospective study of post-anesthetic mild liver disorder associated with inhalation anesthetics, halothane and enflurane.
J Anesth. 1992 Apr;6(2):183-91. doi: 10.1007/s0054020060183.
4
Comparative tolerability profiles of the inhaled anaesthetics.吸入麻醉剂的相对耐受性概况
Drug Saf. 1997 Mar;16(3):157-70. doi: 10.2165/00002018-199716030-00002.
5
The liver and halothane--again.肝脏与氟烷——再谈此事。
Br Med J. 1980 May 17;280(6225):1197-8.
6
Halothane hepatitis: what's new?
Drugs. 1980 Jan;19(1):1-6. doi: 10.2165/00003495-198019010-00001.
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Prospective study of liver function following repeat halothane and enflurane.重复使用氟烷和恩氟烷后肝功能的前瞻性研究。
J R Soc Med. 1981 Apr;74(4):286-9. doi: 10.1177/014107688107400410.
8
Halothane and liver damage.氟烷与肝损伤。
Postgrad Med J. 1989 Mar;65(761):129-35. doi: 10.1136/pgmj.65.761.129.
9
Halothane and hepatitis. Incidence, predisposing factors and exposure guidelines.氟烷与肝炎。发病率、诱发因素及接触指南。
Drug Saf. 1990 Jan-Feb;5(1):28-38. doi: 10.2165/00002018-199005010-00004.