Czerny K, Jedrzejewska E A
Gegenbaurs Morphol Jahrb. 1986;132(1):111-27.
The study aimed to find out the effect of sulfonamide combined with Trimetaprim-Biseptol 480 on the adrenal cortex in post-operative shock after removal of SPIGELian lobe (lobectomy of the lobus caudatus and unilaterally of one kidney with its suprarenal gland. The study was performed on a material of white rats which were post-operatively administered Biseptol 480 in doses 5 times bigger than those given to men. It was attempted to determine histochemically the intensity of the adrenal cortex' function by testing the number of lipid droplets, activity of the main enzyme of steroidogenesis (beta-hydroxy steroid dehydrogenase) and the level of alpha-ketols (as the final stage of steroidogenesis). Pathomorphologic examinations were also performe. On the basis of the present study's results, it was observed that - in the case of liver-lobectomy - the zona fasciculata and zona reticularis are functionally stimulated but the zona glomerulosa becomes insufficient. In the case of nephrectomy plus suprarenal gland's removal, all the adrenal cortex becomes insufficient. Administration of Biseptol in the 1st case contributed to hormonal inactivation of the zone glomerulosa cells, but in the 2nd case, it caused an increased activity of steroid dehydrogenase and an increase of the alpha-ketol level in the zona fasciculata.
该研究旨在探究磺胺类药物联合复方新诺明(每片含磺胺甲恶唑400mg和甲氧苄啶80mg)对脾脏叶切除术后(尾状叶和一侧肾脏及其肾上腺单侧切除的叶切除术)术后休克时肾上腺皮质的影响。该研究以白色大鼠为实验材料,术后给予大鼠的复方新诺明剂量是人类用量的5倍。试图通过检测脂滴数量、类固醇生成主要酶(β - 羟基类固醇脱氢酶)的活性以及α - 酮醇水平(作为类固醇生成的最终阶段),以组织化学方法确定肾上腺皮质功能的强度。同时也进行了病理形态学检查。根据本研究结果观察到,在肝叶切除的情况下,束状带和网状带在功能上受到刺激,但球状带功能不足。在肾切除加肾上腺切除的情况下,整个肾上腺皮质功能不足。在第一种情况下给予复方新诺明会导致球状带细胞的激素失活,但在第二种情况下,它会导致束状带中类固醇脱氢酶活性增加以及α - 酮醇水平升高。