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[母体心血管病变导致胎盘功能不全时胎儿及新生儿肝脏的形态学变化]

[The morphological changes in the liver of fetuses and newborns in placental insufficiency due to maternal cardiovascular pathology].

作者信息

Zadorozhnaia T D, Eshchenko O I

出版信息

Arkh Patol. 1990;52(7):39-43.

PMID:2285362
Abstract

Histological, histochemical and histostereometric examination of 115 placentas and liver of 55 stillborns and newborns from mothers with a cardiovascular pathology was performed. The structural changes in the placenta were as follows: its early maturation (stromal proliferation and sclerosis), dissociated changes in the villi maturation, significant decrease of a vascular bed relative volume, syncytiocapillary membranes, syncytial cover of the villi. A reduction of the glycogen content and an accumulation of lipids in the branching part of chorion was found histochemically. Fat and proteinaceous degeneration, abundant foci of extramedullary haematopoiesis, portal surface increase (sometimes with a disturbance of the bile duct structure), increase of the lipid content and decrease of the reaction to glycogen were revealed in the liver of dead foetuses and newborns dying in early neonatal period.

摘要

对115例患有心血管疾病母亲的死产儿和新生儿的胎盘及55例肝脏进行了组织学、组织化学和组织立体测量检查。胎盘的结构变化如下:早期成熟(基质增殖和硬化)、绒毛成熟的解离变化、血管床相对体积、合体毛细血管膜、绒毛合体覆盖层显著减少。组织化学检查发现绒毛膜分支部分糖原含量减少和脂质蓄积。在死胎和新生儿早期死亡者的肝脏中发现脂肪和蛋白质变性、大量髓外造血灶、门静脉表面增加(有时伴有胆管结构紊乱)、脂质含量增加和糖原反应减少。

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