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[奥昔芬净诱导的肝损伤的电子显微镜照片]

[Electron microscopy picture of oxyphenisatin-induced liver damage].

作者信息

Merker H J, Henning H, Vogel H M

出版信息

Z Gastroenterol. 1976 Dec;14(8):779-95.

PMID:1014772
Abstract

Ultrastructural investigations of liver biopsies are performed in 20 cases after phenolisatin reexposition and corresponding reactions of the laboratory findings. Alterations of the nucleus (segregation of nucleolus, condensation of chromatin) and of the rough endoplasmatic reticulum ("disarrangement", fragmentation and loss of ribosomes) were evident in all cases. In contrast, changes of the mitochondria (swelling) in various extent could only be observed in some cases. Besides that, frequently lipid includings and occasionally includings like lysosomal residual bodies are to be seen. Thus, as a hypothesis we suggest the nucleus resp. nucleolus to be one site of aggression of phenolisatin containing drugs. Findings already described by light microscopy such as reactions of the v. KUPFER cells and proliferations of the ductuli as well as cell proliferations in the portal fields are documentated by electronmicroscopy, too.

摘要

对20例再次接触酚酞后进行肝活检的病例进行了超微结构研究,并对相应的实验室检查结果进行了分析。所有病例均可见细胞核改变(核仁分离、染色质凝聚)和粗面内质网改变(“排列紊乱”、核糖体片段化和丢失)。相比之下,仅在部分病例中观察到不同程度的线粒体肿胀。除此之外,还经常可见脂质包涵体,偶尔可见溶酶体残余体等包涵体。因此,作为一种假设,我们认为细胞核及核仁是含酚酞药物的攻击位点之一。光学显微镜下已描述的结果,如库普弗细胞反应、胆小管增生以及门管区细胞增生,也通过电子显微镜得到了证实。

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