Mills C O, Freeman J F, Salt P J, Elias E
Department of Medicine, Queen Elizabeth Hospital, Birmingham.
Br J Anaesth. 1989 Mar;62(3):311-5. doi: 10.1093/bja/62.3.311.
We have compared in the rat the effects of i.v. anaesthetic agents on bile flow rate and on the biliary excretion of a novel bile acid, 131I-cholylglycyltyrosine (131I-cholylgly.tyr.). Etomidate 1-mg bolus and 2-mg h-1 infusion, Althesin 3-mg bolus and 14.5-mg h-1 infusion and propofol 3.3-mg bolus and 3.3-mg h-1 were given via a tail vein cannula and pentobarbitone 50 mg kg-1 was given by the intraperitoneal route, to groups of six rats. Each animal received only one anaesthetic agent. One hour after cannulation of the common bile duct, 131I-cholylgly.tyr. 5 microCi was injected into the jugular vein and bile was collected every 1 min for 10 min. The mean (SD) percentage cumulative biliary excretion of 131I-cholylgly.tyr. at the end of 10 min was: propofol group 74.1 (5.2)%; Althesin group 82.3 (2.2)%; etomidate group 69.4 (17.6)%; pentobarbitone group 76.4 (3.2)%. Propofol and Althesin were relatively more choleretic, causing bile flow rates twice that produced by pentobarbitone. Only Althesin caused a significant increase in biliary excretion of 131I-cholylgly.tyr. relative to that in rats that received pentobarbitone. Bile flow rates for the respective anaesthetic techniques (microliter min-1/100 g body weight) (mean (SD)) were: propofol group 14.1 (1.8); Althesin group 12.5 (1.7); etomidate 8.5 (1.4); pentobarbitone group 7.3 (1.0). There was a marked metabolic acidosis in all rats except in the propofol group, in which normal acid-base status and oxygenation were observed.
我们在大鼠身上比较了静脉麻醉剂对胆汁流速以及一种新型胆汁酸——131I - 胆酰甘氨酰酪氨酸(131I - cholylgly.tyr.)胆汁排泄的影响。将依托咪酯1毫克静脉推注和2毫克/小时输注、阿法沙龙3毫克静脉推注和14.5毫克/小时输注以及丙泊酚3.3毫克静脉推注和3.3毫克/小时,通过尾静脉插管给予每组6只大鼠,戊巴比妥50毫克/千克通过腹腔途径给予。每只动物仅接受一种麻醉剂。在胆总管插管1小时后,将5微居里的131I - cholylgly.tyr.注入颈静脉,并每隔1分钟收集胆汁,共收集10分钟。10分钟末131I - cholylgly.tyr.的平均(标准差)累积胆汁排泄百分比为:丙泊酚组74.1(5.2)%;阿法沙龙组82.3(2.2)%;依托咪酯组69.4(17.6)%;戊巴比妥组76.4(3.2)%。丙泊酚和阿法沙龙的利胆作用相对更强,使胆汁流速达到戊巴比妥所产生流速的两倍。相对于接受戊巴比妥的大鼠,只有阿法沙龙能使131I - cholylgly.tyr.的胆汁排泄显著增加。各麻醉技术下的胆汁流速(微升/分钟/100克体重)(平均(标准差))分别为:丙泊酚组14.1(1.8);阿法沙龙组12.5(1.7);依托咪酯8.5(1.4);戊巴比妥组7.3(1.0)。除丙泊酚组观察到酸碱状态和氧合正常外,所有大鼠均出现明显的代谢性酸中毒。