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肝昏迷会由脑内去甲肾上腺素或多巴胺减少引起吗?

Can hepatic coma be caused by a reduction of brain noradrenaline or dopamine?

作者信息

Zieve L, Olsen R L

出版信息

Gut. 1977 Sep;18(9):688-91. doi: 10.1136/gut.18.9.688.

DOI:10.1136/gut.18.9.688
PMID:342358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1411646/
Abstract

Intraventricular infusions of octopamine which raised brain octopamine concentrations more than 20 000-fold resulted in reductions in brain noradrenaline and dopamine by as much as 90% without affecting the alertness or activity of normal rats. As this reduction of brain catecholamines is much greater than any reported in hepatic coma, we do not believe that values observed in experimental hepatic failure have aetiological significance for the encephalopathy that ensues.

摘要

脑室内注入章鱼胺可使脑内章鱼胺浓度升高超过20000倍,导致脑内去甲肾上腺素和多巴胺减少多达90%,而不影响正常大鼠的警觉性或活动。由于这种脑内儿茶酚胺的减少比肝昏迷中报道的任何减少都要大得多,我们认为在实验性肝衰竭中观察到的值对随后发生的肝性脑病没有病因学意义。

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Can hepatic coma be caused by a reduction of brain noradrenaline or dopamine?肝昏迷会由脑内去甲肾上腺素或多巴胺减少引起吗?
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8
[Effect of bromocriptine on brain levels of noradrenaline, dopamine and serotonin in experimental portosystemic encephalopathy].
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Effect of L-DOPA and analogues on central dopamine and noradrenaline mechanisms.左旋多巴及其类似物对中枢多巴胺和去甲肾上腺素机制的影响。
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引用本文的文献

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Controversies in ammonia metabolism: implications for hepatic encephalopathy.氨代谢中的争议:对肝性脑病的影响
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Hepatic encephalopathy in liver cirrhosis: pathogenesis, diagnosis and management.肝硬化中的肝性脑病:发病机制、诊断与管理
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Hyperprolactinemia in portal systemic encephalopathy.门体系统性脑病中的高催乳素血症
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Changes in brain catecholamine levels in human cirrhotic hepatic encephalopathy.人类肝硬化性肝性脑病中脑儿茶酚胺水平的变化。
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Blood and brain concentrations of mercaptans in hepatic and methanethiol induced coma.肝性昏迷和甲硫醇诱导昏迷中硫醇的血液及脑内浓度。
Gut. 1984 Mar;25(3):284-90. doi: 10.1136/gut.25.3.284.
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Progress in the treatment of chronic portasystemic encephalopathy.慢性门体分流性脑病的治疗进展
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Brain tyrosine hydroxylase activity and calculated amount of brain dopa synthesized in carbon tetrachloride-intoxicated rats.四氯化碳中毒大鼠的脑酪氨酸羟化酶活性及脑中合成的多巴计算量。
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Amino acids in hepatic coma.肝昏迷中的氨基酸
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Failure of nomifensine to reduce serum prolactin levels in patients with hepatic encephalopathy.诺米芬辛未能降低肝性脑病患者的血清催乳素水平。
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本文引用的文献

1
Mechanism of action of L-dopa in hepatic coma.左旋多巴在肝昏迷中的作用机制。
Surg Forum. 1971;22:347-9.
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New high performance liquid chromatographic analysis of brain catecholamines.脑儿茶酚胺的新型高效液相色谱分析
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Enzymatic-isotopic method for octopamine at the picogram level.皮克级章鱼胺的酶促同位素法。
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Depletion of brain norepinephrine in acute hepatic coma.
Surgery. 1974 Jun;75(6):811-20.
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Role of a false neurotransmitter, octopamine, in the pathogenesis of hepatic and renal encephalopathy.
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Increased fixed-ratio performance and differential d- and l-amphetamine action following norepinephrine depletion by intraventricular 6-hydroxydopamine.经脑室内注射6-羟基多巴胺使去甲肾上腺素耗竭后,固定比率行为表现增强以及d-和l-苯丙胺作用出现差异。
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Synergism between ammonia and fatty acids in the production of coma: implications for hepatic coma.
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Synaptic biochemistry of amino acids.氨基酸的突触生物化学
Fed Proc. 1973 Oct;32(10):2039-47.
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False neurotransmitters and hepatic failure.假性神经递质与肝功能衰竭
Lancet. 1971 Jul 10;2(7715):75-80. doi: 10.1016/s0140-6736(71)92048-4.
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The effect of normalization of plasma amino acids on hepatic encephalopathy in man.血浆氨基酸正常化对人类肝性脑病的影响。
Surgery. 1976 Jul;80(1):77-91.