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[动脉粥样硬化性主动脉瘤(基于扫描电子显微镜观察)]

[Atherosclerotic aortic aneurysm (based on observations with the scanning electron microscope)].

作者信息

Krymskiĭ L D, Stanishevskiĭ Iu A, Nestaĭko G V

出版信息

Arkh Patol. 1975;37(7):23-8.

PMID:1180701
Abstract

The inner surface of the wall of atherosclerotic aneurism represented a sort of large ulcerative atherosclerotic plaque. Its individual areas were characterised by the presence of pseudo-hypertrophy of the endothelium cell nuclei, microplaques, and desorganization of the microrelief. The inner surface of the aneurism was de-endotheliolized on a considerable area, and here there were revealed deposits of lipids in the form of millet-like formations and smooth bodies. Studies of the inner surface of the aneurism wall carried out using raster-electron-microscopy technique made it possible to identify different types of calcinosis in the form of individual and isolated plates of calcium on its inner surface. Desorganization of the microrelief and de-endotheliation of the microrelief of the aneurism wall were the leading causes of parietal thromboformation.

摘要

动脉粥样硬化性动脉瘤壁的内表面呈现出一种大型溃疡性动脉粥样硬化斑块。其各个区域的特征为内皮细胞核的假性肥大、微斑块以及微形态的紊乱。动脉瘤的内表面在相当大的区域内内皮剥脱,在此处发现了粟粒状结构和平滑体形式的脂质沉积。使用光栅电子显微镜技术对动脉瘤壁内表面进行的研究使得能够识别其内表面上以单个和孤立钙板形式存在的不同类型的钙化。动脉瘤壁微形态的紊乱和微形态的内皮剥脱是壁内血栓形成的主要原因。

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