Filatov V V, Glumov V Ia
Central Laboratory of Pathology, Ministry of Defence, 105229, Moscow.
Arkh Patol. 2003 May-Jun;65(3):32-6.
Pronounced alterations of brain elements (vessels, neurocytes, glial cells, neural fibers and synaptic apparatus) are observed in acute generalized peritonitis. The following morphological forms of peritoneal encephalopathy were recognized: diffuse-focal lesions, incomplete partial necroses, inflammatory changes in the form of meningitis and encephalitis. The morphological changes were provoked by some factors resultant from developing endotoxicosis and homeostatic disorders. Structural disturbances may play a leading role in polyorganic insufficiency and under certain conditions may have an independent tanatogenetic significance.
在急性全身性腹膜炎中可观察到脑成分(血管、神经细胞、胶质细胞、神经纤维和突触装置)的明显改变。已识别出以下几种腹膜性脑病的形态学形式:弥漫性局灶性病变、不完全性部分坏死、以脑膜炎和脑炎形式出现的炎症变化。这些形态学改变是由内毒素血症发展和体内稳态紊乱所产生的一些因素引起的。结构紊乱可能在多器官功能不全中起主导作用,在某些情况下可能具有独立的致死意义。