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[异丙肾上腺素在心脏刺激传导紧急治疗中的应用]

[Isoproterenol in the emergency treatment of cardiac stimulus conduction].

作者信息

Albano A, Catapano F, Consoli G, Saltalamacchia G

出版信息

Minerva Med. 1976 Apr 21;67(19):1255-62.

PMID:934481
Abstract

Continuous infusion with isoproterenol (mean dose 2 mug/min) was carried out for periods of a few hours to a few days in 22 patients recurrent Adams-Stokes syncope. In all cases, an improvement leading to or in the direction of physiological cardio-circulatory conditions was noted. Undesired side-effects foreseeable as the result of beta-adrenergic stimulation were not observed. Isoproterenol is more active than metaproterenol and is to be preferred on this account. It is indicated in Adams-Stokes crises due to conduction disturbances when pacemakers cannot or should not be fitted, or as a prelude to their application.

摘要

对22例反复发作阿-斯综合征晕厥的患者持续输注异丙肾上腺素(平均剂量2微克/分钟),持续数小时至数天。在所有病例中,均观察到病情改善,趋向或达到生理心循环状态。未观察到因β-肾上腺素能刺激而可预见的不良副作用。异丙肾上腺素比间羟异丙肾上腺素更有效,因此更值得选用。在因传导障碍导致阿-斯综合征发作且无法或不应安装起搏器时,或作为安装起搏器的前奏时,可使用异丙肾上腺素。

相似文献

1
[Isoproterenol in the emergency treatment of cardiac stimulus conduction].[异丙肾上腺素在心脏刺激传导紧急治疗中的应用]
Minerva Med. 1976 Apr 21;67(19):1255-62.
2
[The efficiency of isoprenaline in acute cardiac and circulatory arrest].[异丙肾上腺素在急性心脏和循环骤停中的疗效]
Z Gesamte Inn Med. 1969 Jan 1;24(1):Suppl:48-50.
3
The metaproterenol (orciprenaline) in the treatment of the symptomatic complete heart block.间羟异丙肾上腺素(奥西那林)治疗有症状的完全性心脏传导阻滞。
Mal Cardiovasc. 1968;9(1):135-43.
4
Intravenous isoprenaline and orciprenaline as a guide to the drug treatment of Stokes-Adams attacks.静脉注射异丙肾上腺素和奥西那林作为治疗斯托克斯-亚当斯发作的药物指导。
Br Med J. 1968 Feb 17;1(5589):419-21. doi: 10.1136/bmj.1.5589.419.
5
[On the continuous treatment of Adams-Stokes paroxysms and conduction disorders of the heart with a long-acting isoprenaline preparation].[关于使用长效异丙肾上腺素制剂持续治疗亚当斯-斯托克斯发作及心脏传导障碍]
Praxis. 1968 Jul 30;57(30):1057-66.
6
[Treatment of heart block with and without an electric pacemaker].[有或无电子起搏器情况下心脏传导阻滞的治疗]
Nord Med. 1971 Jun 24;85(25):765-71.
7
Complete AV block with recurrent Stokes Adams seizures due to ventricular tachycardia. Report of a case treated with a countershock and a pacemaker.完全性房室传导阻滞伴室性心动过速反复发作致斯托克斯-亚当斯发作。1例经电击复律和起搏器治疗的病例报告。
Naika Hokan. 1971 Dec;18(12):463-70.
8
[II. Disturbances of consciousness. A. Internal medical aspects. 1. Syncope. Adams-Stokes' syndrome].
Tidsskr Nor Laegeforen. 1967 Oct 25;87(20):Suppl:1758-61.
9
Prognosis of patients with complete heart block or arrhythmic syncope who were not treated with artificial pacemakers. A long-term follow-up study of 101 patients.未接受人工起搏器治疗的完全性心脏传导阻滞或心律失常性晕厥患者的预后。对101例患者的长期随访研究。
Acta Med Scand. 1976;200(6):457-63.
10
[Drug therapy of patients with atrio-ventriculary block and following pacemaker implantation].
Med Klin. 1968 Dec 27;63(52):2113-8.