COMPARISON OF PITUITARY-ADRENOCORTICAL RESPONSE TO HYPOGLYCEMIA AND SURGERY

被引:12
作者
BLICHERTTOFT, M
CHRISTIANSEN, C
ENGQUIST, A
KEHLET, H
LINDHOLM, J
HUMMER, L
DINESEN, B
机构
[1] UNIV COPENHAGEN HOSP,RIGSHOSP,DEPT CLIN CHEM,DK-2100 COPENHAGEN,DENMARK
[2] UNIV COPENHAGEN HOSP,RIGSHOSP,DEPT NEUROSURG,DIV NEUROENDOCRINOL,DK-2100 COPENHAGEN,DENMARK
[3] GLOSTRUP HOSP,DEPT SURG D,DK-2600 GLOSTRUP,DENMARK
[4] GLOSTRUP HOSP,DEPT ANESTHESIOL,DK-2600 GLOSTRUP,DENMARK
[5] UNIV COPENHAGEN HOSP,RIGSHOSP,DEPT SURG C,DK-2100 COPENHAGEN,DENMARK
[6] UNIV COPENHAGEN HOSP,RIGSHOSP,DEPT NUCL MED,DK-2100 COPENHAGEN,DENMARK
关键词
D O I
10.1111/j.1399-6576.1979.tb01428.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The hypothalamic‐pituitary‐adrenocortical (HPA) responses to the hypoglycaemic stimulus and to operation (laparotomy) are compared. The studies were carried out in eight patients who were subjected to insulin‐induced hypoglycaemia on the day before elective abdominal surgery. Plasma corticotrophin (ACTH) and plasma cortisol concentration increases were virtually identical during the two procedures, which suggests that hypoglycaemia and surgical trauma are comparable stress factors and that the hypoglycaemia test is reliable in predicting the HPA responses to major surgical trauma. © 1979 Acta Anaesthesiologica Scandinavica Fonden
引用
收藏
页码:103 / 106
页数:4
相关论文
共 5 条
[1]  
CARTER ME, 1970, LANCET, V1, P328
[2]  
HUMMER L, 1978, RADIOIMMUNOASSAY REL, P391
[3]  
JASANI MK, 1968, Q J MED, V37, P407
[4]   STUDIES ON SPECIFICITY OF FLUORIMETRIC DETERMINATION OF PLASMA CORTICOSTEROIDS AD MODUM DE M[OR + STEENO [J].
NIELSEN, E ;
ASFELDT, VH .
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 1967, 20 (03) :185-&
[5]   ADRENOCORTICAL RESPONSE TO SURGERY AND INSULIN-INDUCED HYPOGLYCAEMIA IN CORTICOSTEROID-TREATED AND NORMAL SUBJECTS [J].
PLUMPTON, FS ;
BESSER, GM .
BRITISH JOURNAL OF SURGERY, 1969, 56 (03) :216-&