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www.fd17.com  2023-05-09 08:37  

(xi)供医专业人士阅(ci)参?/span>

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(huan)医,合理用?/span>



654-2,(chu)名又叶旋山(bei)莨菪碱,昸(cun)种经典抗M胆(bang)荂临床上,(an)有哪些应(pi)甼在实际(yi)用中,又(zhang)有哪些得大注意的地(kou)呢?我们跟随界小(zuan)走进?54-2”的世(jian)?/span>

荐作用及(bu)?/strong>

?荐作用

具(feng)外周抗M(jian)碱受体作用,(yen)解除乙酰胆碱致平滑(kui)痉挛,也能解(yao)微管痉挛,改善(chou)徾?/span>

特点?/span>

对胃(sha)肠道平滑肌(shen)松弛作用,(an)抑制其蠕劼作用(ke)较阿托品稍弱,其抑制(suo)化道腺体分泌作用为阿托?/10?/span>

抑制唾液(dong)腺分泌及扩瞳作用较弱(ben)为阿托品的1/20-1/10。因不易通过-脑脊液屏障,(suo)中枽用亦弱于阿托?span style='margin: 0px;padding: 0px;outline: 0px;max-width: 100%;font-style: normal;font-variant-ligatures: normal;font-ariant-caps: normal;font-weight: 400;letter-spacing: 0.544px;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[1]100?/span>

comapple合理掌握适应症(yuan)用法用量

缓解痉挛(feng)?/span>片剂:口服,成人(rao)?-2片(5-10mg(ben),??span style='margin: 0px;padding: 0px;color: rgb(89, 87, 87);font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[2]?/span>注射剂:常用量:(xi)成人每肌注5-10mg,每(chuang)?-2?span style='margin: 0px;padding: 0px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[1]?/span>

有机磷中(fu)毒:注射剂:抗休(wei)及有机磷中毒:(xi)静注,成人(hong)?0-40mg,必要时(lu)每隔10-30分钟重给药,也(mei)加剂量病情好轐(qian)渐延长给药(lv)间隔,至停药[1]?/span>

3种情况(uu)?/strong>

出性疾病脑出急期、青光眼及眼内压高(huo)列腺肥大、尿潴留(tian)?span style='margin: 0px;padding: 0px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[2]?/span>

颅内压高幽门阻肠(cheng)梗阻者?span style='margin: 0px;padding: 0px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[1]?/span>

对本品过敏(lie)?span style='margin: 0px;padding: 0px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: left;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;background-color: rgb(255, 255, 255);vertical-align: super;font-size: 13px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;'>[3]?/span>

用药(lv)还需注意??/strong>

反流性管炎、重症溃疡结肠炎、严重心衰及(jiang)心律失常患慎用?/span>

急腹症(chuang)斜明确时,(juan)宜轻易使用?/span>

夏(gan)用药时,因其闱作用,(an)使体温升高?/span>

静滴过程下(fu)现排尿困难,于成人可(rang)注新斯的明(mei)0.5-1.0mg或氢溴酸加兰他敏2.5-5mg,于小儿可肌注(kou)斯的明0.01-0.02mg/kg,以解除(gu)症状[1]?/span>

更科里(qie)荼哇学?


刚入(ai)科的你,想掌握里常用药(lv)物哪里看?哪(chu)些情况需要调整剂(qiang)量?首使(kua)要不要加倍(pei)溶媒到底用盐配还(shan)昳?.....

作为科里的(ju)手,注射剂、片剂用(zuan)何不同?国用法有哪(bang)可以鉴?(xi)物过量何从容应对?(shu)面入新人,(an)何优雅地甩一专接小白去习(ge)荟识?

你想要的(jing)用药干货医生站?/span>徯用药”专(bi)栏都有?/span>


2.点击?/span>下载(jiao)App?/span>

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3.打开医生站App点击专栏(pao)

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4.在精品专(bi)栏里找到?/strong>(huan)用药?/span>

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下载医生站App,随时随地(ban)阅啦~
ɽݹмô(me)6542ɽݹмô(du)-7ͼƬ-DZϢ(wang)
参文(ya)[1]草信息:盐酸消(chuo)山莨菪碱注射液,宁波大红鹰荸股份有限兏(wang),国荇字H33021107.[2]草信息:消(chuo)山莨菪碱片,江(pan)天壊帝益荸有限兏,国(qiu)荇字H32022563?007/04/13.[3]草(qi)息:消旋山(bei)莨菪碱滴眼液,长春迪(kai)瑞制荜限公司,国药(lv)准字H20113036?015/12/23.
(chan)还想看哪些(shui)床常见问题的答疑?迎(tiao)告诉界小荓~
朖首发:(ya)学界临床频道(lian)作:界小?/span>责任编辑?/span>(qian)?彸?/span>
医界力(cha)其发表内在核过(beng)时的准确叝(ben)但并不对已发表内的(dan)时性,以及引用资料(如有)的准(yun)和完整性等(huan)出任何承和保证,亦不承担因些内(qiang)容已过时、所引(kuang)资料參的不准(bang)或不完整等情况引起(feng)任何责任(mo)相关各方在采(yong)用或者以此作为决策依(gun)捗另核查?/span>
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