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本文用氚标双氢心得舒(3H-DHA)为放射性配基,测定了20例心衰患儿外周血完整淋巴细胞β-受体密度(Bmax)及血浆去甲肾上腺素(NE)、肾上腺素(E)浓度。结果发现心衰病儿血浆NE、E浓度明显升高,与心功能呈明显负相关;Bmax则明显降低,与心功能下降程度呈平行关系。美托洛尔治疗后,血浆NE、E浓度降低,Bmax升高。治疗前后差异有显著性。为探讨小儿慢性心衰的发病机理及应用β-受体阻滞剂治疗心衰提供重要的理论依据。
In this study, β-adrenergic (NE) and intact lymphocytes (β-adrenoceptors) in peripheral blood of 20 children with heart failure were measured using 3H-DHA as a radioligand. Su (E) concentration. The results showed that plasma concentrations of NE and E were significantly increased in children with heart failure and negatively correlated with cardiac function, while Bmax was significantly decreased with a parallel relationship with decreased cardiac function. Metoprolol treatment, plasma NE, E concentration decreased, Bmax increased. Before and after treatment, the difference was significant. In order to explore the pathogenesis of chronic heart failure in children and the application of β-blockers to treat heart failure provide an important theoretical basis.