Strukov A I, Simakova R A, Khlebnikova T G
Arkh Patol. 1975;37(9):22-30.
Microcirculation consists of two elements--hemomicrocirculation and lymphomicrocirculation, the both being closely interrelated with each other. Lymphomicrocirculation was studied on the serous membranes taken from dead people who had died of rheumatism and systemic lupus erythematosus (SLE). The microcirculatory bed in the serous membranes was identified by V. V. Kupriyanov's method. The results of the studies showed that in serous membranes in rheumatism there occurred gradual emptying of lymphomicrocirculation and at the same time--compensatory-adaptive and regeneratory processes, the latter being manifested in formation of blind projections of capillaries, in broadening of the lumen. In SLE the lymphatic link actively participated in elimination of metabolism products and underwent a continuous rearrangement with formation of closed and communicant cysterns. Moreover, there was noted a new formation of lymphatic capillaries, which should be considered as a compensatory-adaptive process. Hemo- and lymphomicrocirculation elements are intimately connected due to close contacts between capillaries of the two elements of microcirculation, however, without formation of connecting fistulas. Hemo- and lymphomicrocirculation is an integrate, and under conditions of pathology there developed therein compensatory-adaptive and regenerative processes aimed at the maintenance of tissue metabolic and hemodynamic homeostasis.
微循环由两个部分组成——血液微循环和淋巴微循环，二者密切相关。对死于风湿热和系统性红斑狼疮（SLE）的死者的浆膜进行了淋巴微循环的研究。采用V. V. 库普里亚诺夫的方法确定浆膜中的微循环床。研究结果表明，在风湿热患者的浆膜中，淋巴微循环逐渐排空，同时出现代偿性适应和再生过程，后者表现为毛细血管盲端突起的形成和管腔增宽。在系统性红斑狼疮中，淋巴环节积极参与代谢产物的清除，并不断重新排列，形成封闭和连通的池。此外，还发现了新的淋巴管形成，这应被视为一种代偿性适应过程。由于微循环的两个部分的毛细血管之间紧密接触，血液微循环和淋巴微循环的组成部分紧密相连，但未形成连接瘘。血液微循环和淋巴微循环是一个整体，在病理状态下，其中会发生代偿性适应和再生过程，以维持组织代谢和血液动力学的稳态。
