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静脉注射阿司匹林对猫造成的胃黏膜损伤。

Gastric mucosal lesions produced by intravenous infusion of aspirin in cats.

作者信息

Bugat R, Thompson M R, Aures D, Grossman M I

出版信息

Gastroenterology. 1976 Nov;71(5):754-9.

PMID:9330
Abstract

Aspirin was given by continuous intravenous infusion to 35 intact cats for 7 days in doses ranging from 25 to 200 mg kg-1 day-1. Gastric mucosal lesions occurred in 50 to 70% of the animals in the various dosage groups, including deep ulcers in 20%. All of the ulcers were in antral mucosa near its border with oxyntic mucosa. The incidence of lesions, including ulcers, showed no apparent relation to the dose of aspirin. With all but the highest dose, plasma salicylate levels were within or below what is regarded as the therapeutic range for man. Asprin, 100 mg kg-1 day-1, was given for 7 days to 4 cats with pouches containing all of the antral mucosa plus some oxyntic mucosa. One or more deep ulcers occurred in the antral mucosa of the pouches in each of these 4 cats. The electrical potential difference across the mucosa did not decrease, and net fluxes of hydrogen ions out of the pouch and of sodium ions into the pouch did not increase during the 7 days of aspirin administration despite the occurrence of ulcers in the pouches. It is concluded that intravenous aspirin, in doses giving plasma levels within or below the therapeutic range for man, causes gastric mucosal lesions including deep ulcers within 7 days in cats. These lesions occur without the changes in electrical potential difference and hydrogen and sodium fluxes that are regarded as characteristic of the "broken barrier."

摘要

对35只未做手术的猫连续7天静脉输注阿司匹林,剂量范围为25至200毫克/千克/天。各剂量组中50%至70%的动物出现胃黏膜损伤,其中20%出现深度溃疡。所有溃疡均位于胃窦黏膜与胃体黏膜交界处附近。包括溃疡在内的损伤发生率与阿司匹林剂量无明显关系。除最高剂量外,血浆水杨酸盐水平均在或低于人类治疗范围。给4只装有全部胃窦黏膜加部分胃体黏膜的猫袋连续7天给予100毫克/千克/天的阿司匹林。这4只猫的袋状胃窦黏膜均出现一个或多个深度溃疡。在给予阿司匹林的7天内,尽管袋状胃出现溃疡,但跨黏膜的电位差并未降低,袋状胃中氢离子净流出量和钠离子净流入量也未增加。结论是,静脉输注阿司匹林,剂量使血浆水平在或低于人类治疗范围,可在7天内导致猫胃黏膜损伤,包括深度溃疡。这些损伤出现时,并未出现被认为是“屏障破坏”特征的电位差以及氢和钠通量的变化。

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