Hilweg D
Rofo. 1976 Apr;124(4):320-7. doi: 10.1055/s-0029-1230339.
The distribution and excretion of an intravenously injected, radioactive biliary contrast medium (Ioglycomate) were studied in the mini-pig after the induction of choledochal, thoracic duct and gall bladder fistulae. The investigations were carried out with free lymph and bile flow during artificial cholestasis and after occluding both ureters. Following intravenous injection of 0.24 to 1.0 ml. Bilivistan, there was a cholersis up to six times original value. Ther thoracic duct lymph showed only a small volume rise. The lymphatic circulation played no significant quantitative role in contrast distribution of Ioglycomate in the animal, nor did it influence the blood clearance curves. During normal bile flow, only 1.3% of the injected dose appeared in the thoracic duct within three hours, and during acute biliary obstruction, only 2.6%. The investigations have indicated a biliary transport maximum Ioglycomate in the mini-pig of 2.9 mg./min./kg. body weight. If the excretory capacity of the liver is exceeded and during cholestasis there is compensatory excretion of the biliary contrast medium through the kidneys.
在诱导胆总管、胸导管和胆囊瘘管形成后,对小型猪静脉注射放射性胆道造影剂(碘甘葡胺)后的分布和排泄情况进行了研究。研究在人工胆汁淤积期间以及双侧输尿管阻塞后,在淋巴液和胆汁自由流动的情况下进行。静脉注射0.24至1.0毫升必利维斯坦后,胆汁分泌增加至原来的六倍。胸导管淋巴液的量仅略有增加。在该动物中,淋巴循环在碘甘葡胺的造影剂分布中未起到显著的定量作用,也未影响血液清除曲线。在正常胆汁流动期间,注射剂量的1.3%在三小时内出现在胸导管中,而在急性胆道梗阻期间,这一比例仅为2.6%。研究表明,小型猪中碘甘葡胺的最大胆汁转运量为2.9毫克/分钟/千克体重。如果肝脏的排泄能力超过限度,在胆汁淤积期间,胆道造影剂会通过肾脏进行代偿性排泄。