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胰高血糖素治疗实验性急性胰腺炎。

Glucagon treatment of experimental acute pancreatitis.

作者信息

Papp M, Ribet A, Fodor I, Németh P E, Fehér S, Horváth J E, Folly G

出版信息

Acta Med Acad Sci Hung. 1975;32(2):105-16.

PMID:1235217
Abstract

CFY male rats anaesthetized with pentobarbital were used in different groups for inducing acute pancreatitis by the retrograde injection either of 1 mg elastase, 5 mg trypsin, 4 mg lysolecithin, 10 mg Na-taurocholate in 0.2 ml volume or of 0.3 m. sunflower oil. In each group laparatomized animals served for control. The animals with pancreatitis were treated either with 15 mug/b.w.kg/hour glucagon or with physiological saline for 72 hours. Twenty-four and 72 hours after inducing pancreatitis glucagon did not influence the significant fall in blood pressure elicited by the intraductal injection of trypsin or elastase or in the plasma calcium level in pancreatitis induced by trypsin or sunflower oil. Neither did glucagon affect the significant increase of plasma lipase activity in pancreatitis induced by trypsin or taurocholate. It also failed to reduce the 24-hour mortality rate and the extension of fat tissue necrosis in the abdominal cavity of pancreatitic animals. In contrast, glucagon treatment significantly reduced the amount of abdominal exudate associated with bile salt induced pancreatitis and, probably due to its pancreatic blood flow increasing effect, seemed to moderate the degree of tissue damage elicited in the pancreas by detergents such as taurocholate or lysolecithin.

摘要

戊巴比妥麻醉的CFY雄性大鼠被分组用于通过逆行注射诱导急性胰腺炎,注射的物质分别为:0.2毫升体积的1毫克弹性蛋白酶、5毫克胰蛋白酶、4毫克溶血卵磷脂、10毫克牛磺胆酸钠,或0.3毫升葵花籽油。每组中,接受剖腹手术的动物作为对照。患有胰腺炎的动物用15微克/体重·千克/小时的胰高血糖素或生理盐水治疗72小时。诱导胰腺炎后24小时和72小时,胰高血糖素对胰管内注射胰蛋白酶或弹性蛋白酶引起的血压显著下降,或对胰蛋白酶或葵花籽油诱导的胰腺炎中的血浆钙水平,均无影响。胰高血糖素对胰蛋白酶或牛磺胆酸钠诱导的胰腺炎中血浆脂肪酶活性的显著升高也无影响。它也未能降低胰腺炎动物的24小时死亡率以及腹腔内脂肪组织坏死的范围。相比之下,胰高血糖素治疗显著减少了与胆盐诱导的胰腺炎相关的腹腔渗出液量,并且可能由于其增加胰腺血流的作用,似乎减轻了由牛磺胆酸钠或溶血卵磷脂等去污剂在胰腺中引起的组织损伤程度。

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