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[慢性实验性变应性肺泡炎时肺的病理形态学及小循环的微循环床]

[Pathomorphology of the lungs and microcirculatory bed of the lesser circulation in chronic experimental allergic alveolitis].

作者信息

Orekhov O O, Kirillov Iu A

出版信息

Arkh Patol. 1985;47(10):54-62.

PMID:4074142
Abstract

Granulomatous lung lesions were produced in rats by 5 intravenous or intratracheal injections of the killed BCG suspension as an antigen. On the basis of immunocomplex and cell-mediated immunopathological reactions this condition may be considered as a chronic allergic form of alveolitis. Granulomas were formed along the arteries when the antigen was administered intravenously and along the bronchi after its intratracheal administration. In both cases there were single granulomas in the alveolar septa interstitium. The microcirculatory bed was studied in semithin sections and morphometrically in thick sections after impregnation with an Indian ink and 5% gelatin. The alveolar septa capillaries in control rats were shown to form a network the parameters ow which rather correspond to the "sheet-blow" model (Fung and Sobin, 1969). In chronic allergic alveolitis, a reduction of the capillary network develops at the zone of granulomatous inflammation while in the relatively normal zone a network type of the microcirculatory bed is preformed into the main one with the formation of predominant routes of circulation that provide the blood filling of the heart cavities.

摘要

通过静脉内或气管内5次注射灭活卡介苗悬浮液作为抗原,在大鼠中产生肉芽肿性肺病变。基于免疫复合物和细胞介导的免疫病理反应,这种情况可被视为肺泡炎的一种慢性过敏形式。当静脉内给予抗原时,肉芽肿沿动脉形成;气管内给予抗原后,肉芽肿沿支气管形成。在这两种情况下,肺泡间隔间质中均有单个肉芽肿。在半薄切片中研究微循环床,并在用印度墨水和5%明胶浸渍后的厚切片中进行形态计量学研究。对照大鼠的肺泡间隔毛细血管显示形成一个网络,其参数相当符合“吹片”模型(Fung和Sobin,1969)。在慢性过敏性肺泡炎中,肉芽肿性炎症区域的毛细血管网络减少,而在相对正常的区域,微循环床的网络类型预先形成主要类型,并形成主要的循环途径,为心腔提供血液充盈。

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