Scott D B, Buckley F P, Drummond G B, Littlewoods D G, Macrae W R
Br J Clin Pharmacol. 1976 Aug;3(4 Suppl 3):817-21.
1 The circulatory effects of labetalol 25 mg intravenously in six patients during 1% halothane anaesthesia were studied. 2Labetalol caused a marked decrease in arterial pressure and a consistent but modest (20%) decrease in cardiac output. Heart rate was slowed and stroke volume did not change significantly. Central venous pressure increased and peripheral resistance decreased. 3 Increasing the halothane concentration of 3% led to marked myocardial depression as evidenced by reduced cardiac output and increased central venous pressure with increasing arterial hypotension. 4 Labetalol may be a suitable drug for controlling induced hypotension under general anaesthesia, although high concentrations of halothane should be used with care.
研究了在6例患者1%氟烷麻醉期间静脉注射25毫克拉贝洛尔的循环效应。
拉贝洛尔使动脉压显著降低,心输出量持续但适度(20%)降低。心率减慢,每搏输出量无显著变化。中心静脉压升高,外周阻力降低。
将氟烷浓度增至3%导致明显的心肌抑制,表现为心输出量降低、中心静脉压升高以及动脉低血压加重。
拉贝洛尔可能是全麻下控制诱导性低血压的合适药物,不过高浓度氟烷的使用应谨慎。