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交感 - 肾上腺系统对猫胃动力、胃酸分泌及胃十二指肠碳酸氢盐分泌的影响。

Influences of the sympatho-adrenal system on gastric motility and acid secretion and on gastroduodenal bicarbonate secretion in the cat.

作者信息

Fändriks L, Jönson C

机构信息

Department of Physiology, University of Göteborg, Sweden.

出版信息

Acta Physiol Scand. 1989 Mar;135(3):285-92. doi: 10.1111/j.1748-1716.1989.tb08579.x.

Abstract

Experiments were performed on acutely vagotomized cats during chloralose anaesthesia. Gastric H+ and HCO3- secretions were calculated from the pH and PCO2 in a luminal perfusate. Gastric motility was reflected by changes in hydrostatic pressure within the luminal perfusion system ('intragastric pressure'). Duodenal HCO3- secretion was monitored by pH titration in situ. Animals with an intact sympatho-adrenal system (group 1) were compared with others subjected to splanchnicotomy (group 2), adrenal gland ligation (group 3), and splanchnicotomy plus adrenal gland ligation (group 4). Basal gastric H+ secretion, as well as vagally induced H+ secretory responses, did not differ significantly between groups. Basal gastric HCO3- secretion was lower in all groups with a manipulated sympatho-adrenal system compared to the intact controls. Vagally induced increases in gastric HCO3- secretion were enhanced in the splanchnicotomized groups (groups 2 and 4). Basal as well as vagally induced increases in intragastric pressure and duodenal HCO3- secretion were enhanced in animals subjected to splanchnicotomy, with or without simultaneous adrenal gland ligation (groups 2 and 4). Adrenal gland ligation per se had no such effects. The results suggest that the adrenal glands exert a stimulatory action on basal gastric HCO3- secretion. Basal intragastric pressure and basal duodenal HCO3- secretion are inhibited by post-ganglionic sympathetic neurons, not involving the adrenal glands. Also, vagal excitatory effects on gastric motility, as well as on gastric and duodenal HCO3- secretions, are inhibited by such a direct neural mechanism.

摘要

实验在氯醛糖麻醉下的急性迷走神经切断猫身上进行。胃H⁺和HCO₃⁻分泌量根据腔内灌流液的pH值和PCO₂进行计算。胃动力通过腔内灌注系统内静水压力的变化(“胃内压”)来反映。十二指肠HCO₃⁻分泌通过原位pH滴定进行监测。将交感 - 肾上腺系统完整的动物(第1组)与接受内脏神经切断术的动物(第2组)、肾上腺结扎的动物(第3组)以及内脏神经切断术加肾上腺结扎的动物(第4组)进行比较。各组之间基础胃H⁺分泌以及迷走神经诱导的H⁺分泌反应没有显著差异。与完整对照组相比,所有交感 - 肾上腺系统受到操控的组基础胃HCO₃⁻分泌均较低。在内脏神经切断术组(第2组和第4组)中,迷走神经诱导的胃HCO₃⁻分泌增加。接受内脏神经切断术的动物,无论是否同时进行肾上腺结扎(第2组和第4组),基础以及迷走神经诱导的胃内压和十二指肠HCO₃⁻分泌增加。单纯肾上腺结扎没有这种作用。结果表明,肾上腺对基础胃HCO₃⁻分泌起刺激作用。基础胃内压和基础十二指肠HCO₃⁻分泌受到节后交感神经元的抑制,且不涉及肾上腺。此外,迷走神经对胃动力以及胃和十二指肠HCO₃⁻分泌的兴奋作用也受到这种直接神经机制的抑制。

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