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手术过程中胃液和胆汁中的游离及结合儿茶酚胺

[Free and conjugated catecholamines in gastric and bile juice during surgical operations].

作者信息

Shibata O, Kanairo M, Morooka H, Tsuzaki K, Fujigaki T, Fukusaki M, Gotoh Y

机构信息

Department of Anesthesiology, Nagasaki University School of Medicine.

出版信息

Masui. 1990 Aug;39(8):978-83.

PMID:2232140
Abstract

From 40 patients under surgical operation, gastric or bile juice was obtained to determine the possible excretion of free and conjugated catecholamine (CA) into the two kinds of juice. The patients were divided into normal renal function group and chronic renal failure group and former group was further divided into the dopamine (DA)-administered group and the non-DA-administered group. In the non-DA group with normal renal function, the gastric juice contained 0.30 +/- 0.11ng.ml-1 of free and 0.12 +/- 0.06ng.ml-1 of conjugated norepinephrine (NE) and also 0.09 +/- 0.07ng.ml-1 of free and 0.40 +/- 0.10ng.ml-1 of conjugated DA. In DA group, the gastric juice contained 2.01 +/- 0.41ng.ml-1 of free and 3.66 +/- 0.84ng.ml-1 of conjugated DA respectively. Significant differences in DA were observed between two groups. In the bile juice, the conjugated NE increased significantly from 0.15 +/- 0.05 ng.ml-1 to 1.24 +/- 0.34ng.ml-1 and also the conjugated DA increased significantly from 2.17 +/- 0.77ng.ml-1 to 21.33 +/- 5.23ng.ml-1 by infusion of DA at the rate of 2 micrograms.kg-1.min-1 for 197 +/- 48min. In chronic renal failure group, the conjugated NE and DA increased significantly to 1.04 +/- 0.27ng.ml-1 and 1.64 +/- 0.61ng.ml-1 respectively compared to that of normal renal group. It was confirmed that gastric juice and bile juice contain the free and conjugated CA during surgical operation and by the infusion of DA, free and conjugated DA are excreted into gastric juice and bile juice and also conjugated CA in the gastric juice from chronic renal failure group is increased.

摘要

从40例接受外科手术的患者中获取胃液或胆汁,以测定游离和结合儿茶酚胺(CA)在这两种液体中的排泄情况。患者被分为肾功能正常组和慢性肾衰竭组,肾功能正常组又进一步分为多巴胺(DA)给药组和非DA给药组。在肾功能正常的非DA组中,胃液中游离去甲肾上腺素(NE)含量为0.30±0.11ng/ml,结合NE含量为0.12±0.06ng/ml,游离多巴胺(DA)含量为0.09±0.07ng/ml,结合DA含量为0.40±0.10ng/ml。在DA组中,胃液中游离DA含量为2.01±0.41ng/ml,结合DA含量为3.66±0.84ng/ml。两组间DA含量存在显著差异。在胆汁中,以2μg·kg-1·min-1的速率输注DA 197±48分钟后,结合NE从0.15±0.05ng/ml显著增加至1.24±0.34ng/ml,结合DA也从2.17±0.77ng/ml显著增加至21.33±5.23ng/ml。在慢性肾衰竭组中,与肾功能正常组相比,结合NE和DA分别显著增加至1.04±0.27ng/ml和1.64±0.61ng/ml。证实了手术过程中胃液和胆汁中含有游离和结合的CA,通过输注DA,游离和结合的DA排泄到胃液和胆汁中,并且慢性肾衰竭组胃液中的结合CA增加。

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