Guttu K, Røsok B, Gislason H, Fändriks L, Svanes K, Grønbech J E
Dept. of Surgery, University of Bergen, Norway.
Scand J Gastroenterol. 1991 Apr;26(4):431-41. doi: 10.3109/00365529108996506.
In this study secretion of bicarbonate and acid and mucosal blood flow were determined simultaneously in cats. The gastric lumen of anesthetized cats was continuously perfused with isotonic saline. Secretion of HCO-3 and H+ was calculated from continuous measurements of pH and PCO2 in the perfusate. Mucosal blood was measured by means of radiolabeled microspheres. Under resting acid secretory conditions, bicarbonate secretion into the gastric lumen averaged 1.0 mumol/min. Somewhat surprising, both omeprazole (4 mg/kg as bolus) and pentagastrin (16 micrograms/kg.h intravenously) significantly reduced the HCO-3 secretion. Omeprazole did not influence mucosal blood flow, whereas corpus mucosal blood flow increased during pentagastrin stimulation. Under resting acid secretory conditions and during omeprazole treatment there was a close linear relationship between acid and bicarbonate secretion. No such relationship was found during pentagastrin stimulation of the mucosa. No consistent relationship was obtained between blood flow and bicarbonate secretion in normal gastric mucosa.
在本研究中,对猫同时测定了碳酸氢盐和酸的分泌以及黏膜血流量。给麻醉猫的胃腔持续灌注等渗盐水。通过连续测量灌注液中的pH值和PCO₂来计算HCO₃⁻和H⁺的分泌量。采用放射性微球法测量黏膜血流量。在静息酸分泌条件下,向胃腔内分泌的碳酸氢盐平均为1.0微摩尔/分钟。有点令人惊讶的是,奥美拉唑(4毫克/千克静脉推注)和五肽胃泌素(16微克/千克·小时静脉注射)均显著降低了HCO₃⁻的分泌。奥美拉唑不影响黏膜血流量,而在五肽胃泌素刺激期间胃体黏膜血流量增加。在静息酸分泌条件下以及奥美拉唑治疗期间,酸分泌和碳酸氢盐分泌之间存在密切的线性关系。在五肽胃泌素刺激黏膜期间未发现这种关系。在正常胃黏膜中,血流量与碳酸氢盐分泌之间未获得一致的关系。