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吸入麻醉药对心肌收缩力的抑制作用
引用本文:宋小星,彭章龙,于布为.吸入麻醉药对心肌收缩力的抑制作用[J].国际麻醉学与复苏杂志,2006,27(5):300-302.
作者姓名:宋小星  彭章龙  于布为
作者单位:上海交通大学医学院附属瑞金医院麻醉科,200025
摘    要:常用的吸入麻醉药,如氟烷、安氟醚、异氟醚与七氟醚等,在产生全麻作用的同时,也降低了心肌的收缩力。导致这种负性肌力作用的因素有很多。近年来,对其作用机制的研究越来越深入,提出了一些新的观点,现就此予以综述。

关 键 词:心肌收缩力  吸入麻醉药  抑制作用  负性肌力作用  全麻作用  安氟醚  七氟醚  异氟醚

The negative inotropic action of volatile anesthetics
SONG Xiao-xing,PENG Zhang-long,YU Bu-wei.The negative inotropic action of volatile anesthetics[J].international journal of anesthesiology and resuscitation,2006,27(5):300-302.
Authors:SONG Xiao-xing  PENG Zhang-long  YU Bu-wei
Institution:Department of Anesthesiology, Ruijin hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200025, China
Abstract:The negative inotropic action of volatile anesthetics has been attributed to the effect on various cellular components.For example,volatile anesthetics can not only inhibit L-type Ca~(2+) current and shorten the action potential,but also effect the Ca~(2+) sensitivity of contractile proteins.Furthermore,volatile anesthetics can decrease sarcoplasmic reticulum Ca~(2+) content,and inhibit fractional SR Ca~(2+) release,thus decrease the contractile force of cardiac muscles.And the inhibition is related to the concentration of volatile anesthetics.
Keywords:volatile anesthetics  intropy
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