氟马西尼的临床应用

张秀荣;牛松青

中国药学杂志 ›› 1998, Vol. 33 ›› Issue (02) : 114-116.

中国药学杂志 ›› 1998, Vol. 33 ›› Issue (02) : 114-116.
药物与临床

氟马西尼的临床应用

  • 张秀荣; 牛松青
作者信息 +
文章历史 +

摘要

目的:对氟马西尼(FMZ)的临床应用进行综合评介。方法:从氟马西尼的作用机制、药动学特性、临床应用及不良反应等几个方面进行论述。结果:氟马西尼口服吸收良好,但肝脏首过作用大,其生物利用度仅为16%左右。静脉给药,1min~2min即生效,消除半衰期约为50min。临床上主要用于终止苯二氮类(BZs)诱导和维持的全身麻醉,BZs中毒的诊断与治疗,ICU中患者BZs的拮抗以及治疗肝性脑病等。结论:FMZ是第一个特异性BZs的拮抗剂,在逆转BZs中枢作用方面应用广泛,起效快,毒性低。

关键词

氟马西尼 / 临床应用

引用本文

导出引用
张秀荣;牛松青. 氟马西尼的临床应用[J]. 中国药学杂志, 1998, 33(02): 114-116

参考文献

1 Medrum B.Classification of GABA benzodiazepine receptors.J Neuro Pharmacol,1987,(1):514. 2 Klotz U,Kanto J.Pharmacokinetics and clinical use of flumazenil (Rol5-1788).Clin Pharmacokinet,1988,14 (1):1. 3 Roncari G,Ziegler WH,Quentert TW.Pharmacokinetics of the new benzodiazepine antagonist Ro15-1788 in man following intravenous and oral administration.Br J Clin Pharmacol,1986,22(4):421. 4 Wolff J,Carl P,Clausen TG,et al.Ro15-1788 for post operation recovery.Anaesthesia,1986,41(10):1001. 5 韩文斌.氟马西尼对咪唑安定和异丙酚镇静恢复的影响国外医学·麻醉学与复苏分册,1996,17(1):59. 6 Gregory F,O’Sullivan MB,Denis N,et al.FIumazenil in the management of acute drug overdose with benzodiazepines and other agents.Clin Pharmacol Ther,1987,42(3):254. 7 Grimm G,Ferenci P,Katzeaschlager R.et al.Improvement of hepatic encephalopathy treated with flumazenil.Lancet,1988,2(8625):1392. 8 石碧坚.氟马西尼治疗肝硬化并发肝昏迷.国外医学.消化系疾病分册,1994,14(3):187. 9 Jensen S,Knudsen L,Kirkegaard L.Flumazenil used in the antagonizing of diazepam and midazolam sedation in outpatients undergoing gastroscopy.Eur J Anaesthesiol, 1988,(2Suppl):161. 10 Amrein R,Leishman B,Bentzinger C,et al Flumazenil in benzodiazepine antagonism:actions and clinical use in intoxication and anaesthesiology.Med Toxicol Adverse Drug Exp,1987,2(6):411. 11 Burr W,Sandham P,Judd A.et al.Death after flumazenil.Br Med J,1989,298(6689):1713. 12 Herd B,Clarke F.Complete heart block after flumazenil.Hum Exp Toxicol,1991,(10):289. 13 Lim AG,MB.Death after flumazenil.Br Med J,1989,299(6703):858. 14 Birch BRP,Miller RA.Death after flimazenil Br Med J.1990,300(6722):467. 15 Katz Y,Boulos M,Singer D,et al.Cardiac arrest associated with flumazenil.Br Med J,1992,304(6839):1415. 16 孙成春.氟马两尼药物伍用下在5%葡萄糖注射液中的稳定性·国外医学·药学分册,1994,21(4):253

Accesses

Citation

Detail

段落导航
相关文章

/