Evander A, Ihse I, Lundquist I
Scand J Gastroenterol. 1979;14(1):115-7. doi: 10.3109/00365527909179856.
Pancreatic protein and amylase concentrations were measured after subcutaneous administration of an anticholinergic drug (Pro-Banthine to rats in different doses. In doses comparable to those given in acute pancreatitis an increase of both pancreatic protein and amylase concentrations was found. If pancreatitis is indeed caused or maintained by proteases released from the acinar cell, anticholinergics--giving rise to an accumulation of enzymes within the pancreas--may do more harm than good in the treatment of acute pancreatitis.
皮下注射抗胆碱能药物(溴丙胺太林)给不同剂量的大鼠后,测量其胰腺蛋白质和淀粉酶浓度。在与急性胰腺炎时给予的剂量相当的情况下,发现胰腺蛋白质和淀粉酶浓度均升高。如果胰腺炎确实是由腺泡细胞释放的蛋白酶引起或维持的,那么抗胆碱能药物——导致胰腺内酶的积累——在急性胰腺炎的治疗中可能弊大于利。