Bogomolova I H
Sud Med Ekspert. 2003 Mar-Apr;46(2):16-20.
The results of histomorphometric examinations of the pancreas in drug- and alcohol-addiction as well as in acute intoxications are described. They show that, in chronic alcoholic intoxication as compared with opiomania, there are more pronounced interlobular sclerosis and lipomatosis, which is manifested by an enlarged middle lobe of the stroma (containing fat and connective tissue fibers), by a higher density of islands of Langerhans and by their higher sectional area. Autolysis and edema of the stroma are more severe in an acute intoxication with drugs than in other cases of fatal outcome. A possibility is demonstrated to differentiate between various types of the so-called long-term exogenous intoxication and to discriminate between different types of thanatogenesis typical of various cases of acute intoxications. Data are presented that demonstrate the advantage of the quantitative analysis of histological preparations over the qualitative one.
描述了药物成瘾、酒精成瘾以及急性中毒时胰腺组织形态计量学检查的结果。结果显示,与阿片类药物成瘾相比,慢性酒精中毒时小叶间硬化和脂肪变性更为明显,表现为间质中叶增大(含脂肪和结缔组织纤维)、胰岛密度更高且横截面积更大。药物急性中毒时间质的自溶和水肿比其他致死情况更为严重。证明了区分各种所谓长期外源性中毒类型以及鉴别各种急性中毒典型的不同死亡发生类型的可能性。所提供的数据表明,组织学切片定量分析优于定性分析。