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出血性休克时的血浆胰高血糖素水平。

Plasma glucagon levels in haemorrhagic shock.

作者信息

Russel R C, Pardy B J, Carruthers M E, Bloom S R

出版信息

Br J Surg. 1977 Apr;64(4):285-9. doi: 10.1002/bjs.1800640416.

Abstract

Eleven healthy dogs were subjected to haemorrhagic shock for 90 min. after which shed blood was reinfused. Detailed studies were made of cardiopulmonary function. Samples of blood were taken at frequent intervals for the measurement of glucagon, insulin and glucose. Three dogs had samples taken for catecholamine levels. The glucagon level rose during haemorrhagic shock but there was no relationship between this rise and the change in cardiorespiratory measurement, but there was a relationship between the plasma glucagon level, the blood glucose and the catecholamine level. It is suggested that the release of glucagon in haemorrhagic shock is mediated by sympathetic stimulation of the alpha cell and that the rise in glucagon is in part responsible for the hyperglycaemia which is found in shock.

摘要

11只健康犬遭受失血性休克90分钟,之后回输 shed blood(此处shed blood有误,应为失血)。对心肺功能进行了详细研究。每隔一段时间采集血样以测量胰高血糖素、胰岛素和葡萄糖。3只犬采集血样测定儿茶酚胺水平。失血性休克期间胰高血糖素水平升高,但这种升高与心肺测量值的变化之间没有关系,不过血浆胰高血糖素水平、血糖和儿茶酚胺水平之间存在关系。提示失血性休克时胰高血糖素的释放是由α细胞的交感神经刺激介导的,且胰高血糖素的升高部分导致了休克时出现的高血糖症。

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