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腹泻的发病机制与药理学

Pathogenesis and pharmacology of diarrhea.

作者信息

Ooms L, Degryse A

出版信息

Vet Res Commun. 1986 Sep;10(5):355-97. doi: 10.1007/BF02214001.

DOI:10.1007/BF02214001
PMID:2428162
Abstract

The etiological factors involved in diarrhea are multiple. Also the mechanisms and mediators involved are multiple: intracellular mediators (Ca, cAMP, cGMP, calmodulin, phospholipids), extracellular mediators (hormones, neurotransmitters, prostaglandins, enterotoxins...), intramural blood flow and oxygen, intestinal motility (local- and peristaltic motility). Till now, antidiarrheals are not so versatile that they provide a solution to all types of diarrhea. The mechanisms of action of fluid replacement therapy, loperamide, alpha 2 agonist and some nonsteroidal anti-inflammatory substances are reviewed.

摘要

腹泻涉及的病因多种多样。而且所涉及的机制和介质也多种多样:细胞内介质(钙、环磷酸腺苷、环磷酸鸟苷、钙调蛋白、磷脂)、细胞外介质(激素、神经递质、前列腺素、肠毒素……)、肠壁内血流和氧气、肠道运动(局部和蠕动运动)。到目前为止,止泻药还没有那么通用,无法解决所有类型的腹泻。本文综述了补液疗法、洛哌丁胺、α2激动剂和一些非甾体类抗炎物质的作用机制。

相似文献

1
Pathogenesis and pharmacology of diarrhea.腹泻的发病机制与药理学
Vet Res Commun. 1986 Sep;10(5):355-97. doi: 10.1007/BF02214001.
2
Alterations in intestinal fluid movement.
Scand J Gastroenterol Suppl. 1983;84:65-77.
3
Physiology of diarrhea--small intestines.腹泻的生理学——小肠
J Am Vet Med Assoc. 1978 Sep 1;173(5 Pt 2):662-6.
4
Effects of loperamide on intestinal ion transport.洛哌丁胺对肠道离子转运的影响。
J Pediatr Gastroenterol Nutr. 1984 Sep;3(4):593-601. doi: 10.1097/00005176-198409000-00020.
5
Vasoactive intestinal peptide stimulation of adenylate cyclase and active electrolyte secretion in intestinal mucosa.血管活性肠肽对肠黏膜中腺苷酸环化酶的刺激作用及活性电解质分泌
J Clin Invest. 1974 Sep;54(3):536-44. doi: 10.1172/JCI107790.
6
Development and Pathophysiology of Oral Rehydration Therapy for the Treatment for Diarrhea.腹泻治疗用口服补液疗法的发展与病理生理学
Dig Dis Sci. 2020 Feb;65(2):349-354. doi: 10.1007/s10620-019-05881-3.
7
Clostridium difficile toxin-induced intestinal secretion in rabbit ileum in vitro.艰难梭菌毒素诱导的兔回肠体外肠分泌
Gut. 1983 Feb;24(2):94-8. doi: 10.1136/gut.24.2.94.
8
Relationships between intestinal absorption and hemodynamics.肠道吸收与血流动力学之间的关系。
Annu Rev Physiol. 1982;44:43-55. doi: 10.1146/annurev.ph.44.030182.000355.
9
Interaction of vasoactive intestinal peptide with isolated intestinal epithelial cells from rat. 2. Characterization and structural requirements of the stimulatory effect of vasoactive intestinal peptide on production of adenosine 3':5'-monophosphate.血管活性肠肽与大鼠离体肠上皮细胞的相互作用。2. 血管活性肠肽对3':5'-环磷酸腺苷生成刺激作用的特性及结构要求。
Eur J Biochem. 1979 May 15;96(2):239-48. doi: 10.1111/j.1432-1033.1979.tb13034.x.
10
Effects of calcitonin and substance P on the transport of Ca, Na and Cl across rat ileum in vitro.降钙素和P物质对大鼠离体回肠钙、钠和氯转运的影响。
Gastroenterology. 1977 Jul;73(1):89-94.

引用本文的文献

1
Physiological aspects of absorption and secretion in intestine.肠道吸收与分泌的生理学方面。
Vet Res Commun. 1986 Sep;10(5):341-54. doi: 10.1007/BF02214000.
2
Some infectious causes of diarrhea in young farm animals.幼龄农场动物腹泻的一些传染性病因。
Clin Microbiol Rev. 1990 Oct;3(4):345-75. doi: 10.1128/CMR.3.4.345.

本文引用的文献

1
5-HT metabolism in the intestinal wall of the rat-I. The mucosa.大鼠肠壁中的5-羟色胺代谢 - I. 黏膜
Neurochem Int. 1983;5(6):721-7. doi: 10.1016/0197-0186(83)90097-9.
2
Role of Ca(2+)-dependent regulator protein in intestinal secretion.钙依赖调节蛋白在肠道分泌中的作用。
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3
Myogenic nature of increase in intestinal vascular resistance with venous pressure elevation.随着静脉压力升高,肠道血管阻力增加的肌源性本质。
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4
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5
The release of 5-hydroxytryptamine in relation to pressure exerted on the intestinal mucosa.5-羟色胺的释放与施加于肠黏膜的压力的关系。
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6
Effect of short-chaim fatty acid on sodium absorption in isolated human colon perfused through the vascular bed.短链脂肪酸对经血管床灌注的离体人结肠钠吸收的影响。
Dig Dis Sci. 1981 Feb;26(2):100-6. doi: 10.1007/BF01312224.
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Cholera toxin stimulates secretion of immunoreactive intestinal mucin.
Am J Physiol. 1981 Jan;240(1):G10-6. doi: 10.1152/ajpgi.1981.240.1.G10.
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Effect of luminal distension on intestinal transcapillary fluid exchange.管腔内扩张对肠道毛细血管间液体交换的影响。
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Neural release of vasoactive intestinal peptide from the gut.肠道中血管活性肠肽的神经释放。
Gastroenterology. 1980 Dec;79(6):1288-94.
10
Abuse potential of loperamide.
Clin Pharmacol Ther. 1980 Dec;28(6):812-9. doi: 10.1038/clpt.1980.239.