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氟烷麻醉期间拉贝洛尔的心血管效应。

Cardiovascular effects of labetalol during halothane anaesthesia.

作者信息

Scott D B, Buckley F P, Drummond G B, Littlewoods D G, Macrae W R

出版信息

Br J Clin Pharmacol. 1976 Aug;3(4 Suppl 3):817-21.

PMID:990159
Abstract

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.

摘要
  1. 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。

  2. 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。

  3. 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。

  4. 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。

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