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[垂体及间脑区肿瘤中下丘脑 - 垂体系统的功能状态]

[The functional state of the hypothalamo-hypophyseal system in tumors of the pituitary and diencephalic area].

作者信息

Bozadzhieva E, Savov G, Milanov S, Ovcharuva W, Platonova E

出版信息

Probl Endokrinol (Mosk). 1975 Mar-Apr;21(2):22-7.

PMID:165476
Abstract

A study was made of 38 persons, including 25--with acromegaly, 5--with chromophobic adenomas of the hypophysis, 3--with diencephalic tumours and 5 healthy individuals. STH, TTH and ACTH were determined in the blood plasma with the aid of radioimmunological methods under basic conditions and L-DOPA loading (10 mg per 1 kg of weight) with insulin (0.10 U/kg). There was an increase in the plasma content of STH, TTH and ACTH with a maximum 60 min after the administration of L-DOPA. In the patients with acromegaly STH increased considerably, and in cases with chromophobic adenomas and diencephalic tumours--less. ACTH level was also elevated. STH and ACTH level rose after insulin hypoglycemia. Possible mechanisms of a stimulating action of L-DOPA and insulin are discussed.

摘要

对38人进行了研究,其中包括25例肢端肥大症患者、5例垂体嫌色性腺瘤患者、3例间脑肿瘤患者和5名健康个体。在基础条件下以及左旋多巴负荷(每千克体重10毫克)加胰岛素(0.10单位/千克)的情况下,采用放射免疫方法测定血浆中的生长激素(STH)、促甲状腺激素(TTH)和促肾上腺皮质激素(ACTH)。给予左旋多巴后60分钟时,血浆中STH、TTH和ACTH的含量达到最高值。肢端肥大症患者的STH显著增加,而嫌色性腺瘤和间脑肿瘤患者的增加较少。ACTH水平也升高。胰岛素性低血糖后,STH和ACTH水平上升。文中讨论了左旋多巴和胰岛素刺激作用的可能机制。

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