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右心室梗死及其与冠状动脉硬化和慢性肺源性心脏病的关系(作者译)

[The infarction of the right ventricle and the connections with coronary sclerosis and chronic cor pulmonale (author's transl)].

作者信息

Bahrmann E, Kleinschmidt H J, Rahn W

出版信息

Zentralbl Allg Pathol. 1976;120(2):88-90.

PMID:133580
Abstract

The infarction of the right ventricle as a spatial and temporal mosaic-infarct and the lesions following it were investigated. Its frequency and its connections with the infarction of the left ventricle, coronary sclerosis and hypertrophy of the right ventricle as cor mitrale and cor pulmonale were reported, treated on 11 073 post-mortem examinations of adults separated in males and females. Three groups were divided: 1. isolated lesions of the right ventricle 2. separated lesions--spatially and/or temporally of the right and left ventricle 3. lesions overlapping from the left on the right ventricle. The infarct of the right ventricle respectively cicatrices were observed in 1.2%. The coronary sclerosis was detected in all cases, and specially the hypertrophy of the right ventricle as cor pulmonale or cor mitrale were important for the pathogenesis of right-cardiac infarcts. The pulmonary embolism was more frequent in isolated infarcts of the right ventricle.

摘要

对右心室梗死作为一种空间和时间上的镶嵌性梗死及其后续病变进行了研究。报告了其发生率以及与左心室梗死、冠状动脉硬化和右心室肥大(作为肺心病和心性肥大)的关联,这些研究基于对11073例成年男女尸体解剖的分析。研究分为三组:1. 右心室孤立性病变;2. 右心室和左心室在空间和/或时间上的分离性病变;3. 从左心室延伸至右心室的重叠性病变。右心室梗死及相应瘢痕的发生率为1.2%。所有病例均检测到冠状动脉硬化,特别是作为肺心病或心性肥大的右心室肥大对右心梗死的发病机制具有重要意义。肺栓塞在右心室孤立性梗死中更为常见。

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