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犬胃血流量与盐酸分泌之间的相互关系。基础状况以及分泌刺激物和血管活性物质的影响。

Interrelation between gastric blood flow and HCl secretion in dogs. The basal condition and influence of secretory stimulants and vasoactive substances.

作者信息

Varró V, Döbrönte Z, Sági I

出版信息

Acta Med Acad Sci Hung. 1978;35(1):1-20.

PMID:32717
Abstract

Total and mucosal blood flow in the nonsecreting stomach and the interrelation between local blood flow changes and gastric hydrochloric acid secretion as influenced by various drugs or hormones were investigated in 188 anaesthetized dogs. Substances acting on gastric acid secretion (histamine, pentagastrin, atropine and metiamide) and those showing vasoactive properties (norepinephrine, epinephrine, Hypertensin, nicotinic acid and glucagon) were used. Instillation of 0.1 N HCl solution into the stomach provided a good estimate of the mucosal blood flow of the nonsecreting stomach as measured by the aminopyrine clearance technique of Jacobson et al. Simultaneous recording of the total gastric blood flow with an electromagnetic blood flowmeter revealed the distribution of blood flowing through the mucosal and non-mucosal (submucosa-muscle) tissues of the resting stomach. During acid stimulation a shift of the gastric blood flow to the mucosa was observed, which may reach even 75--80% of the total amount of the blood supply during a given period. Metiamide entirely inhibited the gastric acid secretion induced by both histamine and pentagastrin, but did not parallelly diminish mucosal blood flow. Given during histamine infusion, glucagon strongly inhibited acid secretion while it did not decrease mucosal blood flow.

摘要

在188只麻醉犬身上研究了非分泌期胃的总血流量和黏膜血流量,以及各种药物或激素对局部血流变化与胃酸分泌之间相互关系的影响。使用了作用于胃酸分泌的物质(组胺、五肽胃泌素、阿托品和甲硫咪特)以及具有血管活性的物质(去甲肾上腺素、肾上腺素、血管紧张素、烟酸和胰高血糖素)。向胃内滴注0.1N盐酸溶液,可通过雅各布森等人的氨基比林清除技术很好地估计非分泌期胃的黏膜血流量。用电磁血流计同时记录胃的总血流量,可显示流经静息胃黏膜和非黏膜(黏膜下层-肌肉层)组织的血流分布。在酸刺激期间,观察到胃血流向黏膜转移,在给定时间段内,这一转移量甚至可能达到总供血量的75%-80%。甲硫咪特完全抑制组胺和五肽胃泌素诱导的胃酸分泌,但并未同时减少黏膜血流量。在输注组胺期间给予胰高血糖素,它能强烈抑制胃酸分泌,但不降低黏膜血流量。

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