Takeda K
Nihon Geka Gakkai Zasshi. 1985 Aug;86(8):933-40.
We investigated adrenal medullary function in acute pancreatitis with shock in dog. Pancreatitis was induced by injection of autologous bile into the main pancreatic duct. Adrenal medullary function was examined by basal adrenal catecholamine (CA) output and CA release response to the electrical stimulation of the 1t. splanchnic nerve. Animals were divided into two types--Shock type and non-shock type. In both types, basal CA output increased gradually, but, CA release response in shock type was lower than that in non-shock type. Moreover, both values of basal CA output and CA release response in shock type were lower than those oligemic shock group at the same blood pressure level. On the other hand, no significant difference was observed among these 3 groups on the increase of blood pressure by nerve stimulation, that is, low response of CA release in shock type had no relation with the nerve injury. It was concluded that adrenal medulla was injured in acute pancreatitis with shock by pancreatitis per se.
我们研究了犬急性胰腺炎伴休克时肾上腺髓质的功能。通过将自体胆汁注入主胰管诱导胰腺炎。通过基础肾上腺儿茶酚胺(CA)输出量以及对内脏大神经电刺激的CA释放反应来检测肾上腺髓质功能。动物被分为两种类型——休克型和非休克型。在两种类型中,基础CA输出量均逐渐增加,但休克型的CA释放反应低于非休克型。此外,在相同血压水平下,休克型的基础CA输出量和CA释放反应值均低于低血容量休克组。另一方面,这三组在神经刺激引起的血压升高方面未观察到显著差异,即休克型CA释放反应低与神经损伤无关。得出的结论是,急性胰腺炎伴休克时,肾上腺髓质因胰腺炎本身而受损。