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新生小牛胰岛素的作用。

The effects of insulin of the new-born calf.

作者信息

Comline R S, Edwards A V

出版信息

J Physiol. 1968 Sep;198(2):383-404. doi: 10.1113/jphysiol.1968.sp008613.

Abstract
  1. The normal variations in the concentrations of glucose, fructose and lactic acid in the blood of the calf which occur during the first few weeks after birth have been examined.2. The responses of calves of different ages to intravenous injections of insulin have been examined by recording both the incidence of convulsions and the changes in the concentration of glucose, fructose and lactic acid in the blood.3. New-born calves rarely convulsed during prolonged and severe hypoglycaemia and, if convulsions occurred, the onset was delayed by 6-8 hr. At 7 days of age convulsions usually followed the injection of insulin within 1(1/2)-2 hr.4. No relationship could be found between the duration of hypoglycaemia and the incidence of convulsions at different ages. Hypoglycaemia was most prolonged in new-born calves which rarely convulsed.5. Insulin hypoglycaemia during the first 24 hr after birth was associated with a rise in the concentration of lactate in the blood. Similar changes did not occur in calves at 7 days of age, in which the incidence of convulsions was much higher, or in weaned animals.6. After both splanchnic nerves had been cut, insulin always caused convulsions in 24-hr-old calves. There was no rise in the blood lactate concentration in these animals.7. Intravenous infusions of adrenaline but not noradrenaline in amounts similar to those known to be released from the adrenal medulla of the calf of this age prevented convulsions in 24-hr-old calves after section of the splanchnic nerves. These infusions had little effect on the blood glucose concentration but caused a similar rise in the lactic acid concentration to that found in normal animals at this age during hypoglycaemia.8. At 7 days of age convulsions could only be prevented during hypoglycaemia by infusing larger doses of adrenaline which significantly raised the blood glucose concentration. The increase in the blood lactate concentration was less than that in the new-born animals.9. The resistance to insulin hypoglycaemia which occurs immediately after birth is transient; it depends upon the release of adrenaline from the adrenal medulla and is associated with high concentrations of lactate in the blood during hypoglycaemia.
摘要
  1. 对出生后最初几周内犊牛血液中葡萄糖、果糖和乳酸浓度的正常变化进行了研究。

  2. 通过记录惊厥发生率以及血液中葡萄糖、果糖和乳酸浓度的变化,研究了不同年龄犊牛对静脉注射胰岛素的反应。

  3. 新生犊牛在长时间严重低血糖期间很少惊厥,若发生惊厥,发作会延迟6 - 8小时。7日龄时,注射胰岛素后惊厥通常在1.5 - 2小时内发生。

  4. 在不同年龄阶段,未发现低血糖持续时间与惊厥发生率之间存在关联。新生犊牛低血糖持续时间最长,但很少惊厥。

  5. 出生后最初24小时内的胰岛素性低血糖与血液中乳酸浓度升高有关。7日龄的犊牛惊厥发生率高得多,断奶动物则未出现类似变化。

  6. 切断双侧内脏神经后,胰岛素总会使24小时龄的犊牛发生惊厥。这些动物血液中乳酸浓度未升高。

  7. 静脉输注肾上腺素(而非去甲肾上腺素),剂量与已知该年龄犊牛肾上腺髓质释放的量相似,可防止切断内脏神经后的24小时龄犊牛惊厥。这些输注对血糖浓度影响不大,但会使乳酸浓度升高,与该年龄正常动物低血糖时的情况类似。

  8. 7日龄时,只有输注大剂量肾上腺素显著提高血糖浓度才能在低血糖期间预防惊厥。血液中乳酸浓度的升高低于新生动物。

  9. 出生后立即出现的对胰岛素性低血糖的抵抗力是短暂的;它依赖于肾上腺髓质释放肾上腺素,且与低血糖期间血液中高浓度的乳酸有关。

相似文献

1
The effects of insulin of the new-born calf.新生小牛胰岛素的作用。
J Physiol. 1968 Sep;198(2):383-404. doi: 10.1113/jphysiol.1968.sp008613.

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Movements in midfoetal life in the sheep embryo.绵羊胚胎中孕期的运动。
J Physiol. 1937 Dec 14;91(3):329-51. doi: 10.1113/jphysiol.1937.sp003563.
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The origin of the blood fructose of the foetal sheep.胎羊血液中果糖的来源。
J Physiol. 1951 Apr;113(2-3):258-75. doi: 10.1113/jphysiol.1951.sp004570.
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HYPOGLYCAEMIA IN THE NEWBORN.新生儿低血糖症
Proc R Soc Med. 1964 Nov;57(11):1059-61. doi: 10.1177/003591576405701111.

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