Bourry J, Sarles H
Am J Dig Dis. 1978 May;23(5):423-8. doi: 10.1007/BF01072925.
Rat were given 2.5 mg/kg/day prednisolone in drinking water during 1.5 to 12.5 months and an equal group of matched controls received only water. A pathological study of the pancreas and a physiological study of exocrine pancreatic secretion have been done. The most significant pathological effects at 1.5-12.5 months of steroids are dilatation of acini, flattening of duct epithelium, and the presence of protein plugs in the ducts. The most significant functional modifications at 9-11 months of treatment are increased concentrations and output of proteins both in basal and stimulated pancreatic secretion of steroid-treated rats. This is very similar to the results observed by our group in alcohol-induced pancreatitis. It is assumed that the hyperconcentration could be at least partly responsible for precipitation of proteins and the precipitate formation for the lesions. For the large group of acute or chronic pancreatic lesions characterized by the formation of protein plugs in the ducts, the term catarrhal pancreatitis is proposed.
给大鼠在1.5至12.5个月期间饮用含2.5毫克/千克/天泼尼松龙的水,另一组年龄匹配的对照大鼠只饮用普通水。对胰腺进行了病理学研究,并对外分泌性胰腺分泌进行了生理学研究。在使用类固醇1.5至12.5个月时,最显著的病理效应是腺泡扩张、导管上皮扁平以及导管内出现蛋白栓。在治疗9至11个月时,最显著的功能改变是在基础状态和刺激状态下,接受类固醇治疗的大鼠胰腺分泌的蛋白质浓度和分泌量均增加。这与我们小组在酒精性胰腺炎中观察到的结果非常相似。据推测,高浓度至少部分导致了蛋白质沉淀,而沉淀物的形成导致了病变。对于以导管内形成蛋白栓为特征的一大类急性或慢性胰腺病变,建议使用“卡他性胰腺炎”这一术语。