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幽门阻断以及输注组胺或五肽胃泌素对马胃液分泌的影响。

Effect of pyloric blockade and infusion of histamine or pentagastrin on gastric secretion in horses.

作者信息

Kitchen D L, Burrow J A, Heartless C S, Merritt A M

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32610-0136, USA.

出版信息

Am J Vet Res. 2000 Sep;61(9):1133-9. doi: 10.2460/ajvr.2000.61.1133.

Abstract

OBJECTIVE

To determine the origin of the nonacid (nonparietal) component of gastric secretions in horses induced by pentagastrin infusion.

ANIMALS

6 horses.

PROCEDURE

A Latin square design was used, involving 6 horses, 3 treatments, and 2 duodenal intubation conditions (catheter with balloon to obstruct pylorus [B] or without balloon allowing movement of contents between stomach and duodenum [NB]). Each horse had an indwelling gastric cannula and a catheter positioned in the duodenum. Gastric and duodenal contents were collected during 15-minute periods. Each experiment consisted of serial collection periods: baseline; infusion of pyrilamine maleate (1 mg/kg of body weight, IV); not treated; and IV infusion of saline (0.9% NaCl) solution alone, saline solution containing pentagastrin (6 microg/kg x h), or saline solution containing histamine (30 microg/kg x h). Volume of samples was recorded, and electrolyte concentrations were measured.

RESULTS

Pentagastrin and histamine stimulated maximal acid output; however, during NB conditions, pentagastrin-induced concentration of hydrogen ions was significantly less than during histamine or pentagastrin infusions during B conditions. The large volume produced in response to pentagastrin during NB conditions was accompanied by increased sodium ion output that was greater than for pentagastrin during B conditions, but both values were significantly greater than values for histamine during B or NB conditions.

CONCLUSIONS AND CLINICAL RELEVANCE

Nonparietal secretions collected during IV infusion of pentagastrin are duodenal in origin. Reflux of duodenal contents into the stomach of horses is enhanced by pentagastrin. Flow of duodenal contents into the stomach could have implications in the pathogenesis of ulcers in horses.

摘要

目的

确定静脉输注五肽胃泌素诱导的马胃分泌中非酸性(非壁细胞)成分的来源。

动物

6匹马。

方法

采用拉丁方设计,涉及6匹马、3种处理和2种十二指肠插管条件(带气囊阻塞幽门的导管[B]或不带气囊允许胃和十二指肠内容物移动的导管[NB])。每匹马都有一个留置胃管和一个置于十二指肠的导管。在15分钟时间段内收集胃和十二指肠内容物。每个实验包括连续的收集阶段:基线;静脉注射马来酸氯苯那敏(1mg/kg体重);未处理;以及单独静脉输注生理盐水(0.9%氯化钠)溶液、含五肽胃泌素的生理盐水溶液(6μg/kg·h)或含组胺的生理盐水溶液(30μg/kg·h)。记录样本体积并测量电解质浓度。

结果

五肽胃泌素和组胺刺激最大酸分泌;然而,在NB条件下,五肽胃泌素诱导的氢离子浓度显著低于B条件下组胺或五肽胃泌素输注期间的浓度。NB条件下对五肽胃泌素反应产生的大量液体伴随着钠离子输出增加,该值大于B条件下五肽胃泌素的输出值,但这两个值均显著大于B或NB条件下组胺的输出值。

结论及临床意义

静脉输注五肽胃泌素期间收集的非壁细胞分泌物起源于十二指肠。五肽胃泌素增强了十二指肠内容物向马胃的反流。十二指肠内容物流入胃可能对马溃疡的发病机制有影响。

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