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[急性弥漫性腹膜炎脑损伤的形态学及形态发生机制]

[Morphology and morphogenetic mechanisms of brain lesions in acute generalized peritonitis].

作者信息

Filatov V V, Glumov V Ia

机构信息

Central Laboratory of Pathology, Ministry of Defence, 105229, Moscow.

出版信息

Arkh Patol. 2003 May-Jun;65(3):32-6.

Abstract

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.

摘要

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。

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