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术后患者纯胰液和胆汁中二甲双酮的排泄情况。

The excretion of dimethadione in pure pancreatic juice and bile in postoperative patients.

作者信息

Noda A, Hayakawa T, Mizuno R, Hamano H, Murase T, Shibata T

出版信息

Gastroenterol Jpn. 1984 Apr;19(2):121-6. doi: 10.1007/BF02806934.

DOI:10.1007/BF02806934
PMID:6735069
Abstract

The excretion of dimethadione (DMO) in pure pancreatic juice and bile was studied in postoperative patients undergoing external drainage of pancreatic juice and in those who had undergone percutaneous transhepatic cholangiodrainage. During and after oral administration of trimethadione, which is the precursor of DMO, pancreatic DMO concentration closely paralleled plasma DMO concentration. Pancreatic juice/plasma concentration ratio for DMO exceeded 1.0. In a patient with a large pancreatic cyst communicating with the main pancreatic duct, pancreatic DMO concentration after single rapid injection of secretin inversely correlated with the flow rate, while its output depended directly on the rate. Biliary DMO output after secretin injection was closely dependent on the flow rate, but was extremely low. The present results are essentially compatible with the findings previously observed in dogs.

摘要

在接受胰液外引流的术后患者以及接受经皮经肝胆管引流的患者中,研究了二甲基乙二酮(DMO)在纯胰液和胆汁中的排泄情况。在口服DMO的前体三甲双酮期间及之后,胰液中DMO的浓度与血浆中DMO的浓度密切平行。DMO的胰液/血浆浓度比超过1.0。在一名有与主胰管相通的大胰腺囊肿的患者中,单次快速注射促胰液素后,胰腺DMO浓度与流速呈负相关,而其输出量直接取决于流速。注射促胰液素后的胆汁DMO输出量密切依赖于流速,但极低。目前的结果与先前在狗身上观察到的结果基本相符。

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引用本文的文献

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本文引用的文献

1
DETERMINANTS OF THE FLOW AND COMPOSITION OF BILE IN THE UNANESTHETIZED DOG DURING CONSTANT INFUSIONS OF SODIUM TAUROCHOLATE.在持续输注牛磺胆酸钠过程中未麻醉犬胆汁的流量及成分的决定因素
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The gastric secretion of drugs: a pH partition hypothesis.药物的胃分泌:pH分配假说
J Pharmacol Exp Ther. 1957 Mar;119(3):361-9.
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Quantitative studies of the demethylation of trimethadione (tridione).三甲双酮脱甲基作用的定量研究
重复口服三甲双酮产生的二甲双酮对犬胰腺分泌的影响。
Gastroenterol Jpn. 1990 Oct;25(5):613-8. doi: 10.1007/BF02779362.
J Pharmacol Exp Ther. 1953 May;108(1):11-7.
4
Clinical evaluation of pancreatic excretion test with dimethadione and oral BT-PABA test in chronic pancreatitis.二甲双酮胰腺排泄试验与口服BT-PABA试验在慢性胰腺炎中的临床评估
Dig Dis Sci. 1983 Mar;28(3):230-5. doi: 10.1007/BF01295118.
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Choleretic effects of secretin and histamine in the dog.促胰液素和组胺对犬的利胆作用。
Am J Physiol. 1969 Aug;217(2):532-5. doi: 10.1152/ajplegacy.1969.217.2.532.
6
The excretion of 5,5-dimethyl-2,4-oxazolidinedione from the canine pancreas and liver.5,5-二甲基-2,4-恶唑烷二酮在犬胰腺和肝脏中的排泄。
Am J Dig Dis. 1973 Jun;18(6):498-505. doi: 10.1007/BF01076601.
7
Pancreatic excretion of 5,5-dimethyl-2,4-oxazolidinedione in patients with chronic pancreatitis.慢性胰腺炎患者胰腺对5,5-二甲基-2,4-恶唑烷二酮的排泄情况。
Am J Dig Dis. 1975 Nov;20(11):1019-26. doi: 10.1007/BF01071189.
8
Pancreatic excretion of 5, 5-dimethyl-2, 4-oxazolidinedione in normal subjects.正常受试者胰腺对5,5-二甲基-2,4-恶唑烷二酮的排泄情况。
Am J Dig Dis. 1975 Nov;20(11):1011-8. doi: 10.1007/BF01071188.
9
Pancreatolithiasis and pancreatic carcinoma. Evaluation of pancreatic excretion test with 5,5-dimethyl-2,4-oxazolidinedione.胰石症与胰腺癌。5,5 - 二甲基 - 2,4 - 恶唑烷二酮胰腺排泄试验的评估
Arch Intern Med. 1977 Jun;137(6):754-60. doi: 10.1001/archinte.137.6.754.
10
Pancreatic excretion test and barrier hypothesis in progression of chronic pancreatitis.慢性胰腺炎进展中的胰腺排泄试验与屏障假说
Am J Gastroenterol. 1978 Jun;69(6):673-82.