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胰高血糖素治疗大鼠急性实验性胰腺炎的对照试验。

A controlled trial of glucagon in acute experimental pancreatitis in rats.

作者信息

Dürr H K, Weihe W, Bode C, Bode J C

出版信息

Z Gastroenterol. 1977 Dec;15(12):728-33.

PMID:602326
Abstract

Acute pancreatitis was induced in 245 rats by retrograde instillation of Na-taurocholate into the pancreatic duct. Mortality rate in animals treated 6-hourly with glucagon (1 mg/kg) after induction of pancreatitis was 50% as compared to 30% deaths in the controls treated with 0,9% NaCl (chi2-test: p less than 0,05). Mortality rate in animals treated 6-hourly with the same dose of glucagon before induction of pancreatitis was 36,5% as compared to 28% deaths in the corresponding controls (chi2-test: p greater than 0,05). Glucagon in lower doses (0,1-0,5 mg/kg every 6 hours) did not alter mortality rates as compared to animals treated with 0,9% NaCl. 2. A nonletal form of pancreatitis was induced in 26 rats by ligation of the pancreatic duct. Injection of glucagon (1 mg/kg) seemed to suppress amylase activities in blood for a short period of appr. 1 hour. However, 7 and 9 hours after induction of pancreatitis, amylase activities were significantly higher in animals treated one or two times with glucagon as compared to untreated controls. It is concluded that glucagon in the high dose of 1-4 mg/kg/24 hours does not only not influence the course of acute experimental pancreatitis in rats but can even deteriorate it.

摘要

通过将牛磺胆酸钠逆行注入胰管,在245只大鼠中诱发急性胰腺炎。胰腺炎诱发后每6小时用胰高血糖素(1毫克/千克)治疗的动物死亡率为50%,而用0.9%氯化钠治疗的对照组死亡率为30%(卡方检验:p<0.05)。胰腺炎诱发前每6小时用相同剂量胰高血糖素治疗的动物死亡率为36.5%,而相应对照组的死亡率为28%(卡方检验:p>0.05)。与用0.9%氯化钠治疗的动物相比,较低剂量(每6小时0.1 - 0.5毫克/千克)的胰高血糖素不会改变死亡率。2. 通过结扎胰管在26只大鼠中诱发非致死性胰腺炎。注射胰高血糖素(1毫克/千克)似乎在约1小时的短时间内抑制了血液中的淀粉酶活性。然而,在胰腺炎诱发后7小时和9小时,与未治疗的对照组相比,用胰高血糖素治疗一到两次的动物淀粉酶活性显著更高。得出的结论是,24小时内高剂量1 - 4毫克/千克的胰高血糖素不仅不会影响大鼠急性实验性胰腺炎的病程,甚至会使其恶化。

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