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生长抑素对人体高钙血症刺激的胃液及胰腺外分泌的影响

[Effect of somatostatin on hypercalcemia stimulated gastric juice and exocrine pancreas secretion in the human].

作者信息

Lenz T, Kölbel C, Herzog P, Holtermüller K H

出版信息

Z Gastroenterol. 1986 Feb;24(2):74-9.

PMID:2870592
Abstract

Hypercalcemia produced in healthy volunteers by intravenous infusions of calciumgluconolactobionate increased outputs of gastric acid, pepsin, and pancreatic enzymes. Hypercalcemia did not affect gallbladder emptying and serum gastrin values. Further, intravenous somatostatin (SRIF, 5 micrograms/kg.h) markedly inhibited secretion of gastric acid (p less than 0.01), pepsin (p less than 0.05), and pancreatic enzymes (p less than 0.02) stimulated by hypercalcemia. SRIF-inhibited outputs were below basal values. These results indicate that the inhibitory effect of SRIF on exocrine cells of the human gastrointestinal tract can not be reversed by extracellular hypercalcemia.

摘要

通过静脉输注葡萄糖酸乳糖酸钙在健康志愿者中产生的高钙血症会增加胃酸、胃蛋白酶和胰腺酶的分泌量。高钙血症不影响胆囊排空和血清胃泌素值。此外,静脉注射生长抑素(SRIF,5微克/千克·小时)可显著抑制高钙血症刺激的胃酸分泌(p<0.01)、胃蛋白酶分泌(p<0.05)和胰腺酶分泌(p<0.02)。SRIF抑制后的分泌量低于基础值。这些结果表明,细胞外高钙血症不能逆转SRIF对人胃肠道外分泌细胞的抑制作用。

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