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丙硫氧嘧啶和甲巯咪唑对清醒无拘束大鼠内脏血流动力学的影响。

Effects of propylthiouracil and methimazole on splanchnic hemodynamics in awake and unrestrained rats.

作者信息

Kawasaki T, Carmichael F J, Giles G, Saldivia V, Israel Y, Orrego H

机构信息

Addition Research Foundation, Clinical Institute, Toronto, Ontario, Canada.

出版信息

Hepatology. 1989 Sep;10(3):273-8. doi: 10.1002/hep.1840100303.

Abstract

The treatment of alcoholic liver disease with propylthiouracil is based on its effect of suppressing the ethanol-induced increase in hepatic oxygen consumption. It has been postulated that liver necrosis ensues when the increase in oxygen demand by the liver exceeds oxygen delivery to this organ. Data are now presented which show that propylthiouracil also increases portal blood flow in awake, unrestrained rats. Liver blood flow was determined using the labeled microsphere technique in rats at various intervals (0.25, 0.5, 1.0, 3.0, 6.0 and 24 hr) after oral propylthiouracil (50 mg per kg). Administration of propylthiouracil (dose range: 6.25 to 100.0 mg per kg) produced a dose-dependent increase in portal blood flow when given either orally or intraarterially. Maximal flows were obtained with 50 mg per kg (controls = 37.8 +/- 1.5, oral propylthiouracil = 50.7 +/- 2.2 ml.kg-1.min-1). This increase in portal blood flow was accompanied by a decrease in preportal vascular resistance (controls = 2.61 +/- 0.16; propylthiouracil, 50 mg per kg = 1.79 +/- 0.09 mmHg per ml.kg-1.min-1). These effects were correlated with the plasma concentrations of propylthiouracil (r = 0.67, n = 68, p less than or equal to 0.001). The effect of oral propylthiouracil (50 mg per kg) on portal blood flow started at 0.5 hr and lasted for 6 hr after administration, whereas total liver blood flow was increased for 3 hr. Oral propylthiouracil (50 mg per kg) for 5 days resulted in a 53% increase in thyroid weight, an 85% reduction in 125I thyroid uptake and a 74% decrease in serum thyroxine concentration.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

用丙硫氧嘧啶治疗酒精性肝病是基于其抑制乙醇诱导的肝脏耗氧量增加的作用。据推测,当肝脏的需氧量增加超过该器官的氧输送量时,就会发生肝坏死。现在提供的数据表明,丙硫氧嘧啶还能增加清醒、无束缚大鼠的门静脉血流量。在口服丙硫氧嘧啶(每千克50毫克)后的不同时间间隔(0.25、0.5、1.0、3.0、6.0和24小时),使用标记微球技术测定大鼠的肝脏血流量。口服或动脉内给予丙硫氧嘧啶(剂量范围:每千克6.25至100.0毫克)时,门静脉血流量呈剂量依赖性增加。每千克50毫克时获得最大血流量(对照组 = 37.8 ± 1.5,口服丙硫氧嘧啶 = 50.7 ± 2.2毫升·千克⁻¹·分钟⁻¹)。门静脉血流量的增加伴随着门静脉前血管阻力的降低(对照组 = 2.61 ± 0.16;每千克50毫克丙硫氧嘧啶 = 1.79 ± 0.09毫米汞柱·毫升⁻¹·分钟⁻¹)。这些效应与丙硫氧嘧啶的血浆浓度相关(r = 0.67,n = 68,p ≤ 0.001)。口服丙硫氧嘧啶(每千克50毫克)对门静脉血流量的影响在给药后0.5小时开始,持续6小时,而肝脏总血流量增加3小时。口服丙硫氧嘧啶(每千克50毫克)5天导致甲状腺重量增加53%,¹²⁵I甲状腺摄取减少85%,血清甲状腺素浓度降低74%。(摘要截断于250字)

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