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[急性实验性腹膜炎时肝脏内部血管的变化]

[Changes in the intraorganic vessels of the liver in acute experimental peritonitis].

作者信息

Ivanova G S, Glumov V I, Kranchev A K, Bazhenov V L

出版信息

Arkh Patol. 1988;50(7):51-8.

PMID:3190482
Abstract

Structural pathology and hemodynamics in the livers of 110 white rats were studied histologically, electron microscopically and histoautoradiographically during 5 days since the onset of acute experimental peritonitis. This was accompanied with distinct structural and functional derangement of histohematic barrier along with hepatic hemodynamic disturbances dependent in severity on both fecal suspension quantity and AEP course and stage. Pathologic and compensatory-adaptive reactions profile was established for the animals intrahepatic circulation. Polymorphism of the vascular affections underlies the emergence of the two morphogenetic mechanisms responsible for impairment of hepatic parenchyma: 1) a direct action of toxic substances on hepatocytic cellular membranes, 2) disordered circulatory-hypoxic effect based on pronounced DIC-syndrome and thrombosis. The former mechanism gives rise to disseminated necrosis of hepatocytes, while the latter entails the onset of intralobular necrotic foci, typical for the reactive and toxic stages of acute peritonitis, respectively.

摘要

自急性实验性腹膜炎发作后的5天内,对110只白鼠的肝脏进行了组织学、电子显微镜和组织放射自显影研究,以观察其结构病理学和血液动力学变化。这伴随着组织血液屏障明显的结构和功能紊乱,以及肝脏血液动力学障碍,其严重程度取决于粪便悬液量以及急性实验性腹膜炎的病程和阶段。确定了动物肝内循环的病理和代偿适应性反应特征。血管病变的多态性是导致肝实质受损的两种形态发生机制出现的基础:1)有毒物质对肝细胞细胞膜的直接作用;2)基于明显的弥散性血管内凝血综合征和血栓形成的循环性缺氧效应紊乱。前一种机制导致肝细胞弥漫性坏死,而后一种机制分别引发小叶内坏死灶,这是急性腹膜炎反应期和中毒期的典型表现。

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