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小容量液体快速连续给予时的胃排空情况。

The gastric emptying of small volumes given in quick succession.

作者信息

Erskine L, Hunt J N

出版信息

J Physiol. 1981;313:335-41. doi: 10.1113/jphysiol.1981.sp013668.

Abstract
  1. Ten subjects were given solutions of 33 mM-trisodium citrate or 505 mM-glucose, by tube into the stomach; either 25, 50, 100 or 200 ml. were instilled. The gastric contents were recovered, after 3 min with the trisodium citrate solution and after 10 min with the solution of glucose, then the stomach was washed out with 250 ml. water. Each volume was instilled six times in quick succession on one day with the trisodium citrate solution, and four times on another day with the solution of glucose. The recovered volume of the original meal, which contained Phenol Red, was assessed from the amount of dye in the combined recovery and wash. Each day's procedure was replicated on three days. 2. About half of the trisodium citrate solution was recovered after 3 min and about half the solution of glucose after 10 min, independent of the volume instilled. 3. Glucose slowed gastric emptying. The effect was seen when amounts as low as 1.5 g passed into the duodenum in 10 min. 4. Within-subject, the volumes of trisodium citrate (a distending gastric stimulus) recovered at 3 min allowed predictions of the volumes of glucose solution (a gastric distending and a duodenal osmotic stimulus) recovered at 10 min. 5. The volumes recovered on one day fell progressively with successive instillations of 25, 50 and 100 ml. 6. The results showed that the control system governing gastric emptying responded to volume and osmotic stimuli even when the intragastric volumes were as small as those in the stomach during the interdigestive periods.
摘要
  1. 给10名受试者经导管向胃内注入33 mM柠檬酸钠溶液或505 mM葡萄糖溶液;注入量分别为25、50、100或200 ml。注入柠檬酸钠溶液3分钟后以及注入葡萄糖溶液10分钟后收集胃内容物,然后用250 ml水冲洗胃。一天内用柠檬酸钠溶液将每个体积快速连续注入6次,另一天用葡萄糖溶液注入4次。从合并的回收液和冲洗液中的染料量评估含有酚红的原始餐食的回收体积。每天的操作重复3天。2. 3分钟后约一半的柠檬酸钠溶液被回收,10分钟后约一半的葡萄糖溶液被回收,与注入体积无关。3. 葡萄糖减缓胃排空。当10分钟内低至1.5 g的葡萄糖进入十二指肠时即可观察到这种作用。4. 在受试者内部,3分钟时回收的柠檬酸钠(一种扩张胃的刺激物)体积可用于预测10分钟时回收的葡萄糖溶液(一种胃扩张和十二指肠渗透刺激物)体积。5. 一天内,随着25、50和100 ml的连续注入,回收体积逐渐下降。6. 结果表明,即使胃内体积小至消化间期胃内的体积,控制胃排空的控制系统仍对体积和渗透刺激作出反应。

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