Chen Yang, Jiao Chuan-Jun
Department of Forensic Pathology, Wannan Medical College, Wuhu 241002, China.
Fa Yi Xue Za Zhi. 2011 Jun;27(3):174-7.
To explore ultra-structural changes of fat embolism syndrome (FES) in the lung.
Fat embolism animal model was developed by fat intravascular injection to the experimental rabbits. The rabbits were sacrificed after thrombosis immediately (0 h), 3 h, 8 h and 1 d, 2 d, 7 d, 14 d after thrombosis, respectively. Rabbits were injected with the same dose of saline in the control group. All experimental procedures were same in experimental and control groups. The animal model of fat embolism was validated using HE and Sudan III staining. Ultra-structural changes of lung were observed by using transmission electron microscopy.
Ultra-structural changes in capillaries and small blood vessels were found in experimental group. Type II alveolar cells, related cells and organelles showed time-dependent changes. Lipid drops and inflammatory cells were not found in control group. Lamellar body did not show emptying phenomenon and the amount of lamellar body was normal.
The study could provide the theoretical principle for fat embolism casesin forensic pathology.
探讨脂肪栓塞综合征(FES)肺部的超微结构变化。
通过向实验兔血管内注射脂肪建立脂肪栓塞动物模型。分别在血栓形成后即刻(0小时)、3小时、8小时、1天、2天、7天、14天处死实验兔。对照组兔注射相同剂量的生理盐水。实验组和对照组的所有实验步骤相同。采用苏木精-伊红(HE)染色和苏丹Ⅲ染色对脂肪栓塞动物模型进行验证。利用透射电子显微镜观察肺的超微结构变化。
实验组毛细血管和小血管出现超微结构变化。Ⅱ型肺泡细胞、相关细胞及细胞器呈现出时间依赖性变化。对照组未发现脂滴和炎性细胞。板层小体未出现排空现象,且板层小体数量正常。
本研究可为法医病理学中脂肪栓塞案例提供理论依据。