問題詳情

30.下列消化性潰瘍治療藥物,何者是結合到腸胃道潰瘍部位的蛋白質來保護受損黏膜?
(A)omeprazole
(B)antacids
(C)cimetidine
(D)sucralfate

參考答案

答案:D
難度:簡單0.782609
統計:A(5),B(0),C(0),D(18),E(0)

用户評論

【用戶】如果詳解被鎖找 北醫王瑞賢

【年級】高一上

【評論內容】【解題】節錄自14th Basic & clinical pharmacology p.1095內文A.omeprazole →為pro-drug,酸性下活化(S=O→S-OH),與H+/K+ ATPase Cysteine上S形成雙硫鍵→不可逆抑制H+/K+ ATPaseB.antacids  →直接中和胃酸→胃PH↑→胃蛋白酶活性↓C.cimetidine  →阻H2受體→cAMP↓→抑制胃酸分泌D.sucralfate  →酸性活化,與潰瘍組織電性相反,覆蓋形成保護膜【原文】節錄自14th Basic & clinical pharmacology p.1095 It is believed that the negatively charged sucrose sulfate binds to positively charged proteins in the base of ulcers or erosion, forming a physical barrier that restricts furthe...