
doi: 10.2957/kanzo.15.580
octapressinの門脈圧下降作用を追求する目的で,2例の肝硬変症例および2例の慢性肝炎症例に,同剤の微量緩速点滴静注を行なった.同剤の注入開始後1~2分で閉塞肝静脈圧の下降が始まり,10分以内に減少率14~45%の下降を示した.同剤の注入量は0.4~1.8単位であったが,下降率は注入量に比例せず,むしろ,投与前の閉塞肝静脈圧の高い症例ほど,大きい減少率を示した.末梢動脈血圧は,13~41%上昇し,脈拍数は28~35%減少した.閉塞肝静脈圧は,同剤注入中止後約30分で前値に復した.副作用として,軽度の腹痛,顔面蒼白,尿意を認めたが,格別の処置なく消失した.
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