Gaffney G R, Williamson H E
Res Commun Chem Pathol Pharmacol. 1979 Mar;23(3):627-30.
Furosemide has been reported to cause pathological changes in the intestines as a consequence of the decrease in splanchnic blood flow that it produces. In view of the pancreatic toxicities of this diuretic, it was of interest to examine the effect of the agent on blood flow to this organ. An electromagnetic flow probe, was placed around the splenic artery, a vessel which supplies a major fraction of pancreatic blood flow. Within 60 min after furosemide (1 mg/kg, iv) administration, splenic blood flow (SBF) decreased by 20% and the decrease paralleled the drug-induced diuresis. When the diuresis was prevented, the agent failed to affect SBF. Thus, furosemide causes a reduction in SBF, which appears to involve a mechanism dependent upon the volume reduction produced by the drug-induced diuresis.
据报道,速尿可导致肠道发生病理变化,这是其引起内脏血流减少的结果。鉴于这种利尿剂的胰腺毒性,研究该药物对胰腺血流的影响很有意义。将一个电磁流量探头置于脾动脉周围,脾动脉是供应大部分胰腺血流的血管。静脉注射速尿(1毫克/千克)后60分钟内,脾血流量(SBF)下降了20%,且这种下降与药物诱导的利尿作用平行。当利尿作用被阻止时,该药物未能影响脾血流量。因此,速尿会导致脾血流量减少,这似乎涉及一种依赖于药物诱导利尿作用所产生的容量减少的机制。