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某些因素,尤其是情绪障碍,对肾上腺肾上腺素含量的影响。

THE INFLUENCE OF CERTAIN FACTORS, ESPECIALLY EMOTIONAL DISTURBANCES, ON THE EPINEPHRIN CONTENT OF THE ADRENALS.

机构信息

H. K. Cushing Laboratory of Experimental Medicine, Western Reserve University, Cleveland.

出版信息

J Exp Med. 1916 Dec 1;24(6):709-38. doi: 10.1084/jem.24.6.709.

Abstract
  1. No evidence has been obtained that in cats and dogs with the nerves of one adrenal cut, emotional disturbances cause depletion of the epinephrin store of the normally innervated adrenal as compared with its fellow. 2. The depletion of the epinephrin store in cats under morphine is not dependent upon so called morphine fright, since a similar depletion is found in dogs in which, as is known, morphine produces symptoms the reverse of those of fright. 3. The signs of morphine fright can all be elicited by administering morphine to a cat in which one adrenal has been removed and the nerve supply of the other cut, and in which accordingly no detectable liberation of epinephrin takes place. 4. The reactions of the denervated iris elicited by emotional disturbance, asphyxia, or etherization in a cat, one of whose adrenals has been removed and the nerves of the other cut, do not differ from these reactions in cats whose adrenals have not been interfered with. 5. The influence of postoperative edema of the adrenal in diminishing the epinephrin load, and the recuperation of the load after a time, have been studied in rabbits. 6. The diminution in the epinephrin store of the adrenals which follows operations on animals (postoperative depletion) has been studied. It is only in part associated with the anesthesia, since it may be as marked 6 or 8 hours after an operation lasting less than 1 hour as after 6 or 8 hours' anesthesia without operation. 7. One adrenal was removed in rabbits and the epinephrin content of the remaining gland assayed at varying periods of time after removal of the first, the periods being longer than the time necessary for recovery from the postoperative depletion. In general, the second adrenal contained more epinephrin than the first, sometimes double the amount. 8. Marked depletion of the epinephrin store of innervated adrenals as compared with the corresponding denervated glands was seen in animals dead of infections of various kinds. 9. As shown by Elliott, diminution of the stock of epinephrin in the adrenal through electrical stimulation of the splanchnics is not easy to demonstrate, despite the fact that the liberation of epinephrin into the blood is notably increased by the stimulation. With short periods of stimulation, however, repeated over a long time at intervals just long enough to prevent fatigue, it has proved possible to demonstrate a distinct depletion.
摘要
  1. 没有证据表明,在单侧肾上腺神经切断的猫和狗中,与正常受神经支配的肾上腺相比,情绪紊乱会导致肾上腺素储存耗尽。

  2. 吗啡引起的猫的肾上腺素储存耗尽并不依赖于所谓的吗啡恐惧,因为在已知吗啡会产生与恐惧相反的症状的狗中也发现了类似的耗尽。

  3. 吗啡恐惧的迹象可以通过给一只已经切除了一个肾上腺并切断了另一个肾上腺神经的猫注射吗啡来诱发,在这种情况下,不会发生可检测到的肾上腺素释放。

  4. 在一只已经切除了一个肾上腺并切断了另一个肾上腺神经的猫中,情绪紊乱、窒息或乙醚化引起的去神经虹膜反应与未受干扰的猫的反应没有区别。

  5. 已经在兔子中研究了肾上腺术后水肿对减少肾上腺素负荷的影响,以及一段时间后负荷的恢复。

  6. 已经研究了动物手术后(术后耗竭)肾上腺中肾上腺素储存的减少。它与麻醉仅部分相关,因为即使在持续不到 1 小时的手术 6 或 8 小时后,与没有手术的 6 或 8 小时麻醉相比,它也可能同样显著。

  7. 在兔子中切除了一个肾上腺,并在切除第一个肾上腺后的不同时间间隔测定剩余腺体内的肾上腺素含量,间隔时间长于从术后耗竭中恢复所需的时间。一般来说,第二个肾上腺比第一个含有更多的肾上腺素,有时是其两倍。

  8. 在死于各种感染的动物中,与相应的去神经肾上腺相比,交感神经支配的肾上腺的肾上腺素储存明显耗尽。

  9. 正如埃利奥特所表明的,通过内脏神经刺激来减少肾上腺中的肾上腺素储备并不容易证明,尽管刺激显著增加了肾上腺素向血液中的释放。然而,通过长时间重复短时间的刺激,只要间隔时间足以防止疲劳,就可以证明明显的耗竭。

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