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由于治疗或抢救的需要,直接从莫菲氏滴管中加入某些药物的情况在临床上是经常碰到的。一般药物的配伍禁忌,可以从药物配伍禁忌表中查出。但把药物从莫菲氏管加进正在输入的血液中时,药液与血球、血浆等会发生什么变化将直接影响治疗结果。本文作者对24种药物与血液的配伍进行了试验研究,结果与血液配伍无变化的药物有2.5％硫喷妥钠溶液、氯胺酮、γ-羟基丁酸钠、普鲁卡因、度冷丁、芬太尼、阿托品、东茛菪碱、恢压敏、654—2、多巴胺、心得宁注射液等13种;其余11种药物与血液配伍时可发生变化。氯丙嗪、安定、异丙嗪、氟哌啶醇、洛贝林注射液均能使血球溶解,使血浆出现沉淀;氟美松、氢化可的松、可拉明注射液可使血球溶解;西地兰注射液能使血球凝集;异丙基肾上腺素注射液使血球变形;麻黄素使血浆出现沉淀。因此,这些药物均不
Due to the need of treatment or rescue, it is clinically often encountered to add certain drugs directly from the Murphy’s dropper. Compatibility taboo general drugs, drugs can be contraindicated in the table found. However, the drug is added from the Murphy’s tube into the blood that is being delivered, and what happens to the fluid and blood cells, plasma, etc., will have a direct impact on the outcome of the treatment. The author of 24 kinds of drugs and blood compatibility study conducted, the results of blood compatibility with no change in the drug 2.5% thiopental sodium, potassium ketamine, γ-hydroxybutyrate, procaine, meperidine, fen Taian, atropine, scopolamine, restore pressure sensitive, 654-2, dopamine, such as heart rather injection 13 kinds; the remaining 11 kinds of drugs and blood compatibility can change. Chlorpromazine, diazepam, promethazine, haloperidol, and lobeline injection can both dissolve the blood cells and precipitate the plasma. Flumethasone, hydrocortisone and kolaamine can dissolve the blood cells; Cedilamine injection can make blood coagulation; isoproterenol injection of blood cells to deform; ephedrine precipitation of plasma. Therefore, none of these drugs