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外源性给予胰高血糖素对完全胰腺切除犬血糖水平的影响。

Effect of exogenously administered glucagon on plasma glucose levels in totally depancreatized dogs.

作者信息

Nishimura I, Sudo T, Konishi K, Suzuki T, Tobe T, Nakagawa M, Nakase A

出版信息

Gastroenterol Jpn. 1978;13(6):468-79. doi: 10.1007/BF02774913.

Abstract

Glucagon was administered exogenously via a subcutaneous route to totally depancreatized adult mongrel dogs and studies were made with major emphasis on glucagon effect on the plasma glucose levels. 1. In the totally depancreatized dogs, the plasma glucose levels determined 90 minutes after glucagon injection (40 micrograms/kg s.c.). were compared with the pretreatment fasting plasma glucose levels. The rate of increase in the plasma glucose levels was 5.13 +/- 0.48 times (M +/- SEM) in dogs with low pretreatment level (lower than 100 mg/dl). In dogs with higher pretreatment levels (100-400 mg/dl), the increase was 1.62 +/- 0.40 times. And in dogs with the pretreatment levels higher than 400 mg/dl, the value was 0.90 +/- .07 times. 2. Ninety minutes after regular insulin injection (0.25 U/kg i.v.), glucagon was administered (40 micrograms/kg s.c.), and the changes in the plasma glucose levels were determined. 3. In totally depancreatized dogs, a transient increase in the plasma insulin level was noted when glucagon was administered (40 micrograms/kg s.c.) under infusion of a mixture of glucose and insulin. 4. There was no significant difference in the rate of disappearance of glucagon from the blood between normal and totally depancreatized dogs. 5. It is considered that glucagon would be useful for the treatment of hypoglycemia encountered after total pancreatectomy.

摘要

通过皮下途径向完全胰腺切除的成年杂种狗外源性给予胰高血糖素,并重点研究胰高血糖素对血糖水平的影响。1. 在完全胰腺切除的狗中,将胰高血糖素注射(40微克/千克皮下注射)90分钟后测定的血糖水平与预处理前的空腹血糖水平进行比较。预处理水平较低(低于100毫克/分升)的狗,血糖水平的升高率为5.13±0.48倍(平均值±标准误)。预处理水平较高(100 - 400毫克/分升)的狗,升高幅度为1.62±0.40倍。而预处理水平高于400毫克/分升的狗,该值为0.90±0.07倍。2. 静脉注射正规胰岛素(0.25单位/千克)90分钟后,给予胰高血糖素(40微克/千克皮下注射),并测定血糖水平的变化。3. 在完全胰腺切除的狗中,在输注葡萄糖和胰岛素的混合物时给予胰高血糖素(40微克/千克皮下注射),发现血浆胰岛素水平有短暂升高。4. 正常狗和完全胰腺切除的狗之间,胰高血糖素从血液中消失的速率没有显著差异。5. 认为胰高血糖素对治疗全胰切除术后出现的低血糖有用。

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