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诺米芬辛、促甲状腺激素释放激素及胰岛素诱发低血糖试验在泌乳素瘤诊断中的应用

Nomifensine, TRH and insulin-induced hypoglycemia tests in the diagnosis of prolactinomas.

作者信息

Iannotta F, Fachinetti P, Fachinetti A, Pinotti G, Usellini L

出版信息

J Endocrinol Invest. 1983 Oct;6(5):353-8. doi: 10.1007/BF03347615.

DOI:10.1007/BF03347615
PMID:6420458
Abstract

Nomifensine, TRH and insulin-induced hypoglycemia tests were carried out in 37 cases of hyperprolactinemia: 25 were due to PRL-secreting pituitary tumors, 6 cases to GH and PRL-secreting pituitary tumors and 6 to pituitary and suprasellar non secreting tumors. Nomifensine failed to suppress the serum PRL in all subjects and PRL responses to TRH and insulin-induced hypoglycemia were impaired in all patients, irrespective of the origin of hyperprolactinemia. The uniform pattern of PRL response to the above tests in patients with hyperprolactinemia of variable etiology suggests that none of them is specific for prolactinomas.

摘要

对37例高催乳素血症患者进行了去甲丙咪嗪、促甲状腺激素释放激素(TRH)和胰岛素诱发低血糖试验:其中25例由分泌催乳素的垂体瘤引起,6例由分泌生长激素和催乳素的垂体瘤引起,6例由垂体及鞍上无分泌功能的肿瘤引起。所有受试者服用去甲丙咪嗪后血清催乳素均未被抑制,且所有患者对TRH和胰岛素诱发低血糖的催乳素反应均受损,无论高催乳素血症的病因如何。不同病因的高催乳素血症患者对上述试验的催乳素反应模式一致,提示这些试验均对催乳素瘤无特异性。

相似文献

1
Nomifensine, TRH and insulin-induced hypoglycemia tests in the diagnosis of prolactinomas.诺米芬辛、促甲状腺激素释放激素及胰岛素诱发低血糖试验在泌乳素瘤诊断中的应用
J Endocrinol Invest. 1983 Oct;6(5):353-8. doi: 10.1007/BF03347615.
2
Comparison of the responses in the nomifensine test with hyperprolactinemia due to prolactin-secreting pituitary tumors and nonprolactin-secreting hypothalamic tumors.诺米芬辛试验中泌乳素分泌性垂体瘤和非泌乳素分泌性下丘脑肿瘤所致高泌乳素血症反应的比较。
J Clin Endocrinol Metab. 1981 Dec;53(6):1285-7. doi: 10.1210/jcem-53-6-1285.
3
Evidence of abnormal dopaminergic control of prolactin in patients with hypothalamic and pituitary tumors.下丘脑和垂体肿瘤患者催乳素多巴胺能控制异常的证据。
J Med. 1986;17(1):25-39.
4
The effect of nomifensine on thyroid-stimulating hormone (TSH) in normal and hyperprolactinemic subjects.
Neuroendocrinology. 1983 Dec;37(6):406-10. doi: 10.1159/000123584.
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Failure of nomifensine administration to discriminate between tumorous and nontumorous hyperprolactinemia.诺米芬辛给药未能区分肿瘤性和非肿瘤性高催乳素血症。
J Clin Endocrinol Metab. 1980 Jan;50(1):23-6. doi: 10.1210/jcem-50-1-23.
6
Serum prolactin and growth hormone response to thyrotropin-releasing hormone in patients with pituitary adenomas.垂体腺瘤患者血清催乳素和生长激素对促甲状腺激素释放激素的反应。
Taiwan Yi Xue Hui Za Zhi. 1989 May;88(5):443-9.
7
Nomifensine: diagnostic test in hyperprolactinemic states.诺米芬辛:高催乳素血症状态下的诊断试验。
J Clin Endocrinol Metab. 1978 Dec;47(6):1352-7. doi: 10.1210/jcem-47-6-1352.
8
Long term follow-up of women with surgically treated prolactin-secreting pituitary tumors.接受手术治疗的泌乳素分泌型垂体瘤女性的长期随访
J Clin Endocrinol Metab. 1986 Jun;62(6):1296-301. doi: 10.1210/jcem-62-6-1296.
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Agreement of prolactin response to cimetidine and nomifensine in patients with prolactin-secreting tumors and idiopathic hyperprolactinemia.
Neuroendocrinology. 1982 Nov;35(5):333-5. doi: 10.1159/000123403.
10
Effects of nomifensine on growth hormone and prolactin secretion in normal subjects and in pathological hyperprolactinemia.诺米芬辛对正常受试者及病理性高催乳素血症患者生长激素和催乳素分泌的影响。
J Clin Endocrinol Metab. 1982 Jun;54(6):1125-8. doi: 10.1210/jcem-54-6-1125.

引用本文的文献

1
Nomifensine in hyperprolactinemic states.诺米芬辛在高催乳素血症状态下的情况。
J Endocrinol Invest. 1984 Aug;7(4):421. doi: 10.1007/BF03351028.
2
More on nomifensine.
J Endocrinol Invest. 1985 Apr;8(2):183-4. doi: 10.1007/BF03350679.
3
Hyperprolactinemia: neuroendocrine and diagnostic aspects.高催乳素血症:神经内分泌及诊断方面
J Endocrinol Invest. 1989 Oct;12(9):653-68. doi: 10.1007/BF03350030.

本文引用的文献

1
Prolactin responsiveness to nomifensine in patients with hyperprolactinemia of tumorous or uncertain etiology.
J Clin Endocrinol Metab. 1980 Sep;51(3):650-3. doi: 10.1210/jcem-51-3-650.
2
Comparison of the responses in the nomifensine test with hyperprolactinemia due to prolactin-secreting pituitary tumors and nonprolactin-secreting hypothalamic tumors.诺米芬辛试验中泌乳素分泌性垂体瘤和非泌乳素分泌性下丘脑肿瘤所致高泌乳素血症反应的比较。
J Clin Endocrinol Metab. 1981 Dec;53(6):1285-7. doi: 10.1210/jcem-53-6-1285.
3
Evaluation of two inhibitory tests (nomifensine and L-dopa + carbidopa) for the diagnosis of hyperprolactinaemic states.两种抑制试验(诺米芬辛和左旋多巴+卡比多巴)用于诊断高催乳素血症状态的评估。
Clin Endocrinol (Oxf). 1980 Dec;13(6):525-33. doi: 10.1111/j.1365-2265.1980.tb03420.x.
4
Failure of nomifensine administration to discriminate between tumorous and nontumorous hyperprolactinemia.诺米芬辛给药未能区分肿瘤性和非肿瘤性高催乳素血症。
J Clin Endocrinol Metab. 1980 Jan;50(1):23-6. doi: 10.1210/jcem-50-1-23.
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The value of an intravenous TRH test for the diagnosis of tumoural prolactinaemia.
Acta Endocrinol (Copenh). 1980 Aug;94(4):439-49. doi: 10.1530/acta.0.0940439.
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A new pharmacological approach to the diagnosis of hyperprolactinaemic states: the nomifensine test.一种诊断高泌乳素血症状态的新药理学方法:诺米芬辛试验。
Acta Endocrinol (Copenh). 1980 Feb;93(2):139-48. doi: 10.1530/acta.0.0930139.
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Effect of nomifensine on motor activity, dopamine turnover rate and cyclic 3',5;-adenosine monophosphate concentrations of rat striatum.去甲丙咪嗪对大鼠纹状体运动活性、多巴胺周转率及环磷腺苷浓度的影响。
Naunyn Schmiedebergs Arch Pharmacol. 1974;286(1):49-63. doi: 10.1007/BF00499104.
8
Nomifensine: a new potent inhibitor of dopamine uptake into synaptosomes from rat brain corpus striatum.诺米芬辛:一种新型强效大鼠脑纹状体突触体对多巴胺摄取的抑制剂。
J Pharm Pharmacol. 1974 May;26(5):370-1. doi: 10.1111/j.2042-7158.1974.tb09294.x.
9
Increased sensitivity of dopaminergic inhibition of luteinizing hormone release in immature and castrated female rats.
Endocrinology. 1978 Mar;102(3):837-43. doi: 10.1210/endo-102-3-837.
10
Loss of central nervous system component of dopaminergic inhibition of prolactin secretion in patients with prolactin-secreting pituitary tumors.泌乳素分泌型垂体瘤患者中多巴胺能对泌乳素分泌的抑制作用的中枢神经系统成分缺失。
J Clin Invest. 1978 Apr;61(4):973-80. doi: 10.1172/JCI109022.