De Medeiros R R, Leonapdi L S, Comodo H, Fagundes J J, Mantovani M
G E N. 1977 Jan-Mar;31(3):251-7.
The authors made a comparative study of the use of glucagon (4 mg/day IV) in 30 dogs with acute pancreatitis. They found that the mortality and amylasemia were significantly lower in the glucagon-treated group than in the control groups (saline and glucose solution 5%). In the glucagon group, the areas of necrosis were smaller (1.5 cm) and rarely found; microscopically, the areas of necrosis and the inflammatory reaction were much smaller than in the other groups. These findings lead to the conclusion that the beneficial action of glucagon is due to another mechanism other than its hyperglycemic effect and that the administration of hypertonic solutions of glucose does not have a beneficial effect in acute pancreatitis.
作者对30只患有急性胰腺炎的犬使用胰高血糖素(静脉注射4毫克/天)进行了一项对比研究。他们发现,胰高血糖素治疗组的死亡率和淀粉酶血症显著低于对照组(生理盐水和5%葡萄糖溶液)。在胰高血糖素组中,坏死面积较小(1.5厘米)且很少发现;在显微镜下,坏死面积和炎症反应比其他组小得多。这些发现得出结论,胰高血糖素的有益作用是由于其除高血糖作用之外的另一种机制,并且葡萄糖高渗溶液的给药在急性胰腺炎中没有有益作用。