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西咪替丁治疗急性实验性胰腺炎

Cimetidine treatment in acute experimental pancreatitis.

作者信息

Evander A, Ihse I

出版信息

Eur Surg Res. 1980;12(5):301-9. doi: 10.1159/000128135.

Abstract

The effects of cimetidine on acute experimental pancreatitis was studied in the rat. Acute pancreatitis was induced in a highly standardized manner, using transduodenal injection of sodiumtaurodeoxycholate and trypsin, into the bile-pancreatic duct. Subcutaneous injections of 32 mg/kg body weight of cimetidine every 8 h did not influence the severity of pancreatitis as evaluated on basis of mortality, macroscopic evaluation, S amylase and amylase activity in ascites or amylase and lipase activity within pancreatic tissue. When, however, the dose of cimetidine was increased tenfold, a significantly increased mortality rate was observed as compared to normal rats given either dose of cimetidine and to pancreatitic rats given the low dose of the drug. Our study does not justify the use of cimetidine in acute pancreatitis.

摘要

在大鼠中研究了西咪替丁对急性实验性胰腺炎的影响。采用经十二指肠向胆胰管注射牛磺脱氧胆酸钠和胰蛋白酶的方法,以高度标准化的方式诱发急性胰腺炎。每8小时皮下注射32mg/kg体重的西咪替丁,根据死亡率、宏观评估、腹水淀粉酶和淀粉酶活性或胰腺组织内淀粉酶和脂肪酶活性评估,对胰腺炎的严重程度没有影响。然而,当西咪替丁剂量增加10倍时,与给予任何剂量西咪替丁的正常大鼠以及给予低剂量该药物的胰腺炎大鼠相比,观察到死亡率显著增加。我们的研究不支持在急性胰腺炎中使用西咪替丁。

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