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琥珀酰二胆碱和琥珀酰单胆碱对心脏的影响。

Cardiac effects of succinyldicholine and succinylmonocholine.

作者信息

Ohmura A, Wong K C, Shaw L

出版信息

Can Anaesth Soc J. 1976 Nov;23(6):567-73. doi: 10.1007/BF03006737.

DOI:10.1007/BF03006737
PMID:990973
Abstract

The present study evaluated possible contribution of succinylmonocholine in producing serious cardiovascular effects with or without succinyldicholine, using albino rabbits as the experimental animal. Forty-eight experiments were performed, 22 in vivo and 26 in vitro (Langendort heart). Succinyldicholine and succinylmonocholine administered separately or together produced an immediate bradycardia in vivo as well as in vitro. The combination of these drugs had a direct arhythmogenic effect as well as an indirect reflux mediated cardiac effect. When succinyldicholine was given within five minutes following a dose of succinylmonocholine there was significant nodal and ventricular ectopic beats, but no bradycardia. Dysrhythmias in in vivo hearts were abolished by cord trans-section, trimethaphan and reserpine pretreatment. There was no evidence in vivo that succinylmonocholine produced more serious bradycardia, dysrhythmias or hypotension than succinyldicholine,

摘要

本研究以白化兔为实验动物,评估了琥珀酰单胆碱在有或没有琥珀酰二胆碱的情况下产生严重心血管效应的可能作用。共进行了48项实验,其中22项在体内进行,26项在体外(Langendort心脏)进行。单独或联合给予琥珀酰二胆碱和琥珀酰单胆碱在体内和体外均能立即引起心动过缓。这些药物的组合具有直接的致心律失常作用以及间接的反流介导的心脏效应。在给予琥珀酰单胆碱剂量后五分钟内给予琥珀酰二胆碱时,出现明显的结性和室性异位搏动,但无心动过缓。体内心脏的心律失常可通过切断脊髓、三甲噻方和利血平预处理消除。在体内没有证据表明琥珀酰单胆碱比琥珀酰二胆碱产生更严重的心动过缓、心律失常或低血压。

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1
Cardiac effects of succinyldicholine and succinylmonocholine.琥珀酰二胆碱和琥珀酰单胆碱对心脏的影响。
Can Anaesth Soc J. 1976 Nov;23(6):567-73. doi: 10.1007/BF03006737.
2
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引用本文的文献

1
Drug storage: a cautionary note.药品储存:一则警示说明。
CMAJ. 1986 Aug 15;135(4):271.

本文引用的文献

1
Effects of intravenously administered succinyldicholine on cardiac rate, rhythm, and arterial blood pressure in anesthetized man.静脉注射琥珀酰胆碱对麻醉状态下人体心率、心律及动脉血压的影响。
Anesthesiology. 1961 Nov-Dec;22:947-54. doi: 10.1097/00000542-196111000-00013.
2
Succinylcholine and cardiac excitability.琥珀酰胆碱与心脏兴奋性。
Anesthesiology. 1962 Jan-Feb;23:32-40. doi: 10.1097/00000542-196201000-00006.
3
Blockade of cardiac synapses by succinylcholine.琥珀酰胆碱对心脏突触的阻断作用。
Science. 1956 Aug 17;124(3216):319-20. doi: 10.1126/science.124.3216.319.
4
Observations on the excitation by acetylcholine and by pressure of sensory receptors in the cat's carotid sinus.关于乙酰胆碱和压力对猫颈动脉窦感觉感受器的刺激作用的观察
J Physiol. 1955 Dec 29;130(3):513-32. doi: 10.1113/jphysiol.1955.sp005424.
5
Direct positive inotropic effect of acetylcholine on myocardium. Evidence for multiple cholinergic receptors in the heart.乙酰胆碱对心肌的直接正性肌力作用。心脏中存在多种胆碱能受体的证据。
Circ Res. 1966 Dec;19(6):1097-108. doi: 10.1161/01.res.19.6.1097.
6
Ventricular cholinergic receptor systems: interaction with adrenergic systems.心室胆碱能受体系统:与肾上腺素能系统的相互作用。
J Pharmacol Exp Ther. 1969 Jun;167(2):282-90.
7
The effect of succinylcholine on the isolated mammalian heart.琥珀酰胆碱对离体哺乳动物心脏的作用。
Proc R Soc Med. 1972 Feb;65(2):149-54. doi: 10.1177/003591577206500211.
8
Integrative neural cardiovascular control.神经心血管综合控制
Physiol Rev. 1971 Apr;51(2):312-67. doi: 10.1152/physrev.1971.51.2.312.
9
The effects of morphine on the isolated heart during normothermia and hypothermia.吗啡在正常体温和低温状态下对离体心脏的影响。
Anesthesiology. 1973 Jun;38(6):550-6. doi: 10.1097/00000542-197306000-00009.
10
Pseudocholinesterases of mammalian plasma: physicochemical properties and organophosphate inhibition in eleven species.
Toxicol Appl Pharmacol. 1973 Jan;24(1):92-100. doi: 10.1016/0041-008x(73)90184-1.