Frolova I A, Tsagikian T A, Borisova L I, Gordeeva V A, Sirota I I
Vopr Med Khim. 1983 Mar-Apr;29(2):127-30.
Excretion of adrenaline was increased in patients with chronic recurrent pancreatitis, excretion of noradrenaline tended to decrease although the content of this amine exceeded 1.5-2-fold its normal concentration in individual patients; excretion of DOPA was unaltered. Hyperlipoproteinemia was found in the majority of the patients. Maximal level of the adrenaline excretion was mainly observed in the patients with high activity of the trypsin inhibitor in blood serum as well as with the high ratio trypsin inhibitor/trypsin. An increase in the adrenaline excretion correlated with hypercholesterolemia and to a lesser extent--with hypertriglyceridemia. The most pronounced hypertriglyceridemia was typical for the patients with alcoholic abuse. Relationship between catecholamines and extrasecretory functions of pancreatic gland as well as with hyperlipoproteinemia in pancreatitis is discussed. An increase in the total antitryptic activity might be caused by activation of the sympathoadrenal system or by hyperproduction of adrenaline.
慢性复发性胰腺炎患者肾上腺素的排泄量增加,去甲肾上腺素的排泄量虽有下降趋势,但个别患者该胺类物质的含量超过正常浓度1.5至2倍;多巴的排泄量未改变。大多数患者存在高脂蛋白血症。肾上腺素排泄量的最高水平主要见于血清中胰蛋白酶抑制剂活性高以及胰蛋白酶抑制剂/胰蛋白酶比值高的患者。肾上腺素排泄量的增加与高胆固醇血症相关,与高甘油三酯血症的相关性较小。最明显的高甘油三酯血症是酗酒患者的典型表现。文中讨论了儿茶酚胺与胰腺外分泌功能以及胰腺炎患者高脂蛋白血症之间的关系。总抗胰蛋白酶活性的增加可能是由交感肾上腺系统激活或肾上腺素分泌过多引起的。