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长时间应用超大剂量多巴胺和小剂量硝普钠抢救急性心肌梗死并发重症心源性休克成功经验 被引量:5
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作者 杨跃进 徐义枢 +6 位作者 高润霖 陈在嘉 武玉兰 寇文 刘红旭 张莉萍 毛克修 《中国循环杂志》 CSCD 1996年第2期122-125,共4页
目的和方法:急性心肌梗死(AMI)并发心源性休克(CGS)病死率高达80%~100%,即使成功实施急诊冠状动脉成形术,其病死率仍高达40%~50%,因此,药物治疗依然十分重要。我们连续收治两例AMI并发重症CGS患者... 目的和方法:急性心肌梗死(AMI)并发心源性休克(CGS)病死率高达80%~100%,即使成功实施急诊冠状动脉成形术,其病死率仍高达40%~50%,因此,药物治疗依然十分重要。我们连续收治两例AMI并发重症CGS患者,经3~4周超大剂量多巴胺(20~50μg·kg-1min)联合小剂量硝普钠(5~40μg/min)持续静脉滴注治疗,均抢救成功后痊愈出院,也未产生心律失常和心肌缺血恶化等严重副作用。结果和结论:提示该合用方案对AMI并发CGS患者能维持动脉血压,增加组织灌注,改善左心室功能,可能是有效和安全的;同时,也积累了一定的临床治疗经验。 展开更多
关键词 心肌梗塞 心源性休克 剂量 多巴胺 硝普钠
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Quantitative Autoradiographic Study on Receptor Regulation in the Basal Ganglia in Rat Model of Levodopa-induced Motor Complications 被引量:1
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作者 徐岩 张振涛 +2 位作者 秦开蓉 Stella M.Papa 曹学兵 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第2期156-162,共7页
In order to study neurotransmitter receptor regulation in the basal ganglia involved in the functional changes underlying levodopa-induced motor complications, quantitative autoradiography was used to observe receptor... In order to study neurotransmitter receptor regulation in the basal ganglia involved in the functional changes underlying levodopa-induced motor complications, quantitative autoradiography was used to observe receptor bindings of dopamine D1 and D2, N-methyl-D-aspartate (NMDA), amino-3-hydroxy-5-methylisoxazole propionic acid (AMPA) and amino butyric acid (GABA) in the basal ganglia of rats that had unilateral nigrostriatal lesions and had been chronically treated with levodopa until motor complications developed. The rats were randomly assigned to three groups: normal, denervated and treatment-complicated groups. The results showed that response duration to levodopa became progressively shorter and abnormal involuntary movement (AIM) score was progressively increased during the course of levodopa treatment. Chronic treatment augmented D1 receptors more than denervation, and reduced D2 receptors that were also increased by dopamine denervation. Striatal NMDA receptors were substantially up-regulated in the treatment-complicated group. Levodopa treatment did not change receptors of nigral AMPA, pallidal GABA, and subthalamic GABA, which remained the same as that in denervation group. However, chronic treatment reversed the increase of nigral GABA receptors caused by the lesion. It was concluded that a shortening of response duration and AIM mimicked levodopa-induced motor complications of Parkinson's patients. These data suggested that up-regulation of dopamine D1 and NMDA receptors in the striatum leads to an imbalance of stimulation through the striatal output pathways, which is associated with levodopa-induced motor complications. 展开更多
关键词 levodopa-induced motor complications Parkinson's disease glutamate receptors GABA receptors dopaminc receptors AUTORADIOGRAPHY
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失血性休克犬的垂体—甲状腺轴功能的研究
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作者 王苏河 王明德 +4 位作者 陈秋红 郑美铿 陈文善 陈功 韦立新 《中国病理生理杂志》 CAS CSCD 北大核心 1990年第1期52-55,共4页
本文观察了失血性休克犬的垂体—甲状腺轴的功能状态,发现休克犬的血清T_4、T_3较休克前降低,rT_3升高,而TSH变化不大。休克犬经多巴胺(DA)治疗后,其血清T_4、T_3低下更为明显,TSH亦较休克前明显降低(P<0.001),rT_3变化不大。本结果... 本文观察了失血性休克犬的垂体—甲状腺轴的功能状态,发现休克犬的血清T_4、T_3较休克前降低,rT_3升高,而TSH变化不大。休克犬经多巴胺(DA)治疗后,其血清T_4、T_3低下更为明显,TSH亦较休克前明显降低(P<0.001),rT_3变化不大。本结果说明①休克犬可出现低T_3、T_4综合征,但垂体功能正常;②休克犬用DA治疗后可出现继发性垂体甲状腺功能减退,故DA可影响垂体—甲状腺轴的功能。本研究尚证明DA在体外并不影响血清T_4、T_3和TSH浓度,且DA不易通过血脑屏障,所以,提示DA可能是直接作用于腺垂体影响TSH的合成或分泌。 展开更多
关键词 休克 失血性 垂体 甲状腺
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垂体泌乳素瘤下丘脑多巴胺调节功能的评价
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作者 夏朴 史铁蘩 《中华内分泌代谢杂志》 CAS CSCD 北大核心 1989年第2期80-83,共4页
本文以卡比多巴+左旋多巴(CD+LD)和灭吐灵(MCP)试验,观察了11例垂体泌乳素(PRL)瘤和7例健康女性血TSH和LH水平的变化,同时与血PRL的变化作比较。结果表明PRL瘤患者血PRL不被CD+LD抑制,但其TSH和LH可被显著抑制,并与正常组相似。患者血PR... 本文以卡比多巴+左旋多巴(CD+LD)和灭吐灵(MCP)试验,观察了11例垂体泌乳素(PRL)瘤和7例健康女性血TSH和LH水平的变化,同时与血PRL的变化作比较。结果表明PRL瘤患者血PRL不被CD+LD抑制,但其TSH和LH可被显著抑制,并与正常组相似。患者血PRL对MCP的反应低减,而TSH和LH的反应却显著高于正常组,其升高幅度与血PRL基础值呈正相关。提示,PRL瘤患者下丘脑多巴胺调节功能正常,并存在多巴胺与PRL间反馈机制,以致下丘脑多巴胺含量相对过多。 展开更多
关键词 垂体泌乳素瘤 多巴胺 下丘脑
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