Möricke R, Titlbach O, Kellner K, Rothenberg G
Z Gesamte Inn Med. 1980 May 15;35(10):433-9.
The influence of intravenous noradrenalin infusions in increasing dosages lasting 60 minutes on the peripheral venous total T3- and total T4-concentrations of blood, blood pressure and heart rate was established on 5 test persons during a period of 110 minutes. Immediately after the addition of 0.12 micrograms NA/kg Kgw./min an increasing tendency of the T4-concentration in the venous blood occurred, respectively. Under influence of higher NA-doses (0.20 and 0.33 micrograms/kg Kgw./min) the noradrenergically induced T4-increase (p < 0.05) with average increases of the T4-level by 28.7 and 22.3%, respectively, in comparison to the initial values was statistically secured. The total T3-concentration did not show any statistically secure changes under NA-infusion. The fundamental possibilities of an influence of the intravenously applied NA on the production of the hormone of the thyroid gland, the secretion of the thyroid hormone and the peripheral conversion are discussed. Using findings of animal experiments the supposition of the immediate influence of the NA on the follicle cells of the thyroid gland and the secretory process gains importance. The clinical importance of the adrenergic modulation of the thyroxin secretion for the clinician is discussed.
在110分钟内,对5名测试对象进行了研究,以确定持续60分钟递增剂量静脉输注去甲肾上腺素对血液外周静脉总T3和总T4浓度、血压及心率的影响。在以0.12微克去甲肾上腺素/千克体重/分钟的速度给药后,静脉血中T4浓度立即出现上升趋势。在更高剂量去甲肾上腺素(0.20和0.33微克/千克体重/分钟)的影响下,去甲肾上腺素诱导的T4升高(p<0.05)具有统计学意义,与初始值相比,T4水平平均分别升高了28.7%和22.3%。在输注去甲肾上腺素期间,总T3浓度未显示出任何具有统计学意义的变化。文中讨论了静脉应用去甲肾上腺素对甲状腺激素产生、甲状腺激素分泌及外周转化产生影响的基本可能性。根据动物实验结果,去甲肾上腺素对甲状腺滤泡细胞和分泌过程的直接影响这一假设变得尤为重要。文中还讨论了肾上腺素能调节甲状腺素分泌对临床医生的临床重要性。