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[心脏瓣膜矿化]

[Mineralization of heart valves].

作者信息

Pawlikowski M, Pfitzner R

机构信息

Instytut Geologii AGH, Krakowie.

出版信息

Folia Med Cracov. 1992;33(1-4):3-24.

PMID:1342999
Abstract

Mineralization (calcification) of heart valves (mitral, aortic and aortic bioprosthesis) have been analyzed using; histology, x-ray diffraction, infrared spectroscopy, scanning microscopy, atomic absorption and electron microprobe. Obtained results showed the presence of two type of mineralization. First type is represented by grains composed of hydroxyapatite containing admixture of carbonates. This mineralization is seen macroscopically. Second type of mineralization is possible to determine only using chemical methods. It is represented by biological structures containing amount of Ca, P and other elements higher then normal heart valves. This second type of the mineralization conducts to the changes of physical features of the tissue. Both types of calcification develops because of the defects of atomic structure of biological components of heart valves (mainly collagen). These defects show the presence of free atomic bindings i.e. electric potential. Because of this, they are able to react with surrounding free joints, starting calcification. Defects of biological structures of heart valves are the results of infections, mechanical destruction of the valves etc. Calcification may be stopped on different stages of its development: or as secret calcification or may pass to the stage seen as apatite grains.

摘要

已使用组织学、X射线衍射、红外光谱、扫描显微镜、原子吸收和电子微探针分析了心脏瓣膜(二尖瓣、主动脉瓣和主动脉生物假体)的矿化(钙化)情况。获得的结果显示存在两种类型的矿化。第一种类型由含有碳酸盐混合物的羟基磷灰石组成的颗粒代表。这种矿化在宏观上可见。第二种类型的矿化只能使用化学方法确定。它由含有比正常心脏瓣膜更高含量的钙、磷和其他元素的生物结构代表。这种第二种类型的矿化导致组织物理特征的变化。两种类型的钙化都是由于心脏瓣膜生物成分(主要是胶原蛋白)的原子结构缺陷而发展的。这些缺陷表明存在自由原子键,即电势。因此,它们能够与周围的自由键反应,引发钙化。心脏瓣膜生物结构的缺陷是感染、瓣膜机械破坏等的结果。钙化可能在其发展的不同阶段停止:或作为隐匿性钙化,或可能进入被视为磷灰石颗粒的阶段。

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