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[阿片受体拮抗剂在急性休克性失血中的作用机制]

[The mechanism of the action of opiate receptor antagonists in acute shock-induced blood loss].

作者信息

Sherman D M, Lafarenko V A

机构信息

Experimental Laboratory, Regional Military Hospital, Lwow, Ukraine.

出版信息

Eksp Klin Farmakol. 1998 Jan-Feb;61(1):25-9.

PMID:9575407
Abstract

Experiments on 81 rabbits showed that intravenous infusion of naloxone and nalorphine in different periods of hemorrhagic shock promoted the death of animals. It is concluded that in hypoxia only the antagonistic activity of the drugs is manifested as total inactivation of the endogenous opioid system depriving it of its protective functions. Nalorphine infused after blood reinfusion exhibits agonistic activity and additional activation of the endogenous opioid system promotes the use of the biological reserves by the organism, which saves some of the animals from death or essentially prolongs the survival of the others. Infusion of naloxone after blood transfusion has no effect on the outcome.

摘要

对81只兔子进行的实验表明,在失血性休克的不同阶段静脉注射纳洛酮和烯丙吗啡会促使动物死亡。得出的结论是,在缺氧状态下,这些药物的拮抗活性仅表现为内源性阿片系统完全失活,使其失去保护功能。在输血后注射烯丙吗啡表现出激动活性,内源性阿片系统的额外激活促进机体利用生物储备,这使一些动物免于死亡或显著延长了其他动物的存活时间。输血后注射纳洛酮对结果没有影响。

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