Kitagawa H, Fujiwara M, Osumi Y
Gastroenterology. 1979 Aug;77(2):298-302.
The correlation between acid secretion and mucosal blood flow in the rat stomach during stress loading was determined to provide clues to the etiology of the gastric ulceration which thus occurs. The gastric acid output was increased remarkably by water-immersion stress at 23 degrees C, and this increase lasted while the stress was given, yet the mucosal blood flow did not show a corresponding increase. In rats stressed for 3 hr, ulcerative changes were observed in the glandular portion of the stomach. The stress-induced increase in acid output correlated well with the severity of erosions. Pretreatment of animals with atropine 10 microgram/kg, given subcutaneously, or vagotomy, inhibited the increase in acid output and also inhibited the ulcer formation caused by the stress: however, the mucosal blood flow in these animals decreased significantly. These results suggest that when there is an elevation of gastric acid secretion with no parallel increase in mucosal blood flow, gastric ulceration may occur under conditions of stress.
测定应激负荷期间大鼠胃内酸分泌与黏膜血流量之间的相关性,以寻找由此发生的胃溃疡病因线索。在23摄氏度水浸应激下,胃酸分泌显著增加,且在应激期间持续增加,但黏膜血流量并未相应增加。应激3小时的大鼠胃腺部出现溃疡性改变。应激诱导的酸分泌增加与糜烂严重程度密切相关。给动物皮下注射10微克/千克阿托品预处理或进行迷走神经切断术,可抑制酸分泌增加,也可抑制应激引起的溃疡形成:然而,这些动物的黏膜血流量显著减少。这些结果表明,当胃酸分泌升高而黏膜血流量无相应增加时,在应激条件下可能会发生胃溃疡。