Andrzejewska A, Długosz J
Zakładu Anatomii Patologicznej, Białymstoku.
Pol Tyg Lek. 1991;46(50-52):989-92.
Morphologic disorders in the liver during the acute pancreatitis are an important aspect of multiorgan disturbances seen in this disease. The study aimed at evaluating ultrastructural disorders in the of the experimental pancreatitis. The study involved 24 male Wistar rats. The acute experimental pancreatitis has been produced by the injection of a 5% sodium taurocholate during sterile laparotomy. Samples for examination have been taken after 1, 3, 6, and 12 hours. Collected samples have been examined systematically. Mitochondrial pleomorphism, partial RER degranulation, decrease in glycogen content, and autophagocytosis have been noted already within 1 and 3 hours. The degree of these disorders has increased within 6 hours, reaching its peak after 12 hours. Marked degeneration of mitochondria, high autophagocytosis, nearly complete disappearance of glycogen, impaired sinusal endothelium, and Kupffer's cells stimulation, in which increased phagocytic activity has been noted made a complete picture of the ultrastructural disorders. Such morphologic changes in the liver have indicated its damage in the early stages of the acute pancreatitis. It may be of importance for the development of multiorgan complications of this disease.
急性胰腺炎时肝脏的形态学紊乱是该疾病中多器官功能障碍的一个重要方面。本研究旨在评估实验性胰腺炎肝脏的超微结构紊乱。该研究纳入了24只雄性Wistar大鼠。通过在无菌剖腹手术期间注射5%牛磺胆酸钠诱导急性实验性胰腺炎。在1、3、6和12小时后采集样本进行检查。对采集的样本进行了系统检查。在1至3小时内已观察到线粒体多形性、部分粗面内质网脱颗粒、糖原含量降低和自噬现象。这些紊乱的程度在6小时内有所增加,在12小时后达到峰值。线粒体明显变性、高自噬现象、糖原几乎完全消失、肝血窦内皮受损以及库普弗细胞活化(观察到吞噬活性增加)构成了超微结构紊乱的全貌。肝脏的这种形态学变化表明其在急性胰腺炎早期即已受损。这可能对该疾病多器官并发症的发展具有重要意义。