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肾上腺素输注导致母羊低镁血症:其与脂肪分解的关系。

Hypomagnesemia resulting from adrenaline infusion in ewes: its relation to lipolysis.

作者信息

Rayssiguier Y

出版信息

Horm Metab Res. 1977 Jul;9(4):309-14. doi: 10.1055/s-0028-1093519.

Abstract

Intravenous infusion of adrenaline (40 microgram Kg-1 h-1 for 5 hrs) causes hypomagnesemia in ewes. Hypomagnesemia is increased by phentolamine and inhibited by propranolol. Thyroidectomy, with thyroxine supplementation, does not inhibit the hypomagnesemia caused by adrenaline and phentolamine. Sodium nicotinate (15 mg Kg-1 h-1 for 5 hrs) inhibits the increase in non-esterified fatty acids and hypomagnesemia resulting from infusion of adrenaline and phentolamine. Sodium nicotinate inhibits the increase in non-esterified fatty acids and hypomagnesemia resulting from theophylline infusion (20 mg Kg-1 h-1 for 90 min). It is concluded that an increase in the level of intra-cellular cyclic AMP due to beta adrenergic stimulation by adrenaline or to inhibition of phosphodiesterases by theophylline, results in hypomagnesemia which seems to be correlated with stimulation of lipolysis.

摘要

静脉输注肾上腺素(40微克/千克/小时,持续5小时)可导致母羊低镁血症。酚妥拉明会加重低镁血症,而普萘洛尔则可抑制低镁血症。甲状腺切除并补充甲状腺素后,并不抑制由肾上腺素和酚妥拉明引起的低镁血症。烟酸钠(15毫克/千克/小时,持续5小时)可抑制因输注肾上腺素和酚妥拉明而导致的非酯化脂肪酸增加及低镁血症。烟酸钠还可抑制因输注茶碱(20毫克/千克/小时,持续90分钟)而引起的非酯化脂肪酸增加及低镁血症。研究得出结论,肾上腺素对β肾上腺素能的刺激或茶碱对磷酸二酯酶的抑制导致细胞内环磷酸腺苷水平升高,进而引发低镁血症,这似乎与脂肪分解的刺激有关。

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