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婴儿猝死综合征中颈动脉体的超微结构异常

Ultrastructural abnormalities of the carotid body in sudden infant death syndrome.

作者信息

Cole S, Lindenberg L B, Galioto F M, Howe P E, DeGraff A C, Davis J M, Lubka R, Gross E M

出版信息

Pediatrics. 1979 Jan;63(1):13-7.

PMID:440789
Abstract

The carotid bodies of four infants who died of sudden infant death syndrome (SIDS) were compared, using electron microscopic techniques, with the carotid bodies of various control subjects. In the SIDS patients, there was a marked reduction or absence of the dense cytoplasmic granules of the carotid chemorecptor cells, as well as a reduction in cell number and size. These ultrastructural abnormalities may be pathophysiologically related to SIDS. A defect in this respiratory control organ could block normal stimulation of respiration during the periods of hypoxia that occur during episodes of sleep apnea in infancy. Further studies by electron microscopy are required to confirm degranulation of the carotid body as a pathognomonic sign of SIDS. Screening of high-risk infants should be directed at studying the carotid body and its mediated responses to hypoxia.

摘要

利用电子显微镜技术,将4名死于婴儿猝死综合征(SIDS)的婴儿的颈动脉体与各类对照对象的颈动脉体进行了比较。在SIDS患者中,颈动脉化学感受器细胞的致密胞质颗粒显著减少或缺失,同时细胞数量和大小也有所减少。这些超微结构异常可能在病理生理上与SIDS相关。这个呼吸控制器官的缺陷可能会在婴儿睡眠呼吸暂停发作期间出现缺氧时,阻碍对呼吸的正常刺激。需要通过电子显微镜进行进一步研究,以确认颈动脉体脱颗粒作为SIDS的特征性体征。对高危婴儿的筛查应针对研究颈动脉体及其对缺氧的介导反应。

相似文献

1
Ultrastructural abnormalities of the carotid body in sudden infant death syndrome.婴儿猝死综合征中颈动脉体的超微结构异常
Pediatrics. 1979 Jan;63(1):13-7.
2
Ultrastructure of carotid bodies in sudden infant death syndrome.婴儿猝死综合征中颈动脉体的超微结构
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Morphometric investigation of carotid body in sudden infant death syndrome.婴儿猝死综合征中颈动脉体的形态计量学研究。
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Sleep apnea in infants who succumb to the sudden infant death syndrome.死于婴儿猝死综合征的婴儿中的睡眠呼吸暂停。
Pediatrics. 1991 Jun;87(6):841-6.
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The carotid body in Sudden Infant Death Syndrome.突发性婴儿死亡综合征中的颈动脉体。
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New brain stem and bone marrow abnormalities in victims of sudden infant death syndrome.婴儿猝死综合征受害者新出现的脑干和骨髓异常。
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Carotid bodies in sudden infant death syndrome: a combined light microscopic, ultrastructural, and biochemical study.婴儿猝死综合征中的颈动脉体:一项光镜、超微结构及生化联合研究
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引用本文的文献

1
From the Cover: Prenatal Nicotinic Exposure Attenuates Respiratory Chemoreflexes Associated With Downregulation of Tyrosine Hydroxylase and Neurokinin 1 Receptor in Rat Pup Carotid Body.封面文章:产前尼古丁暴露减弱与幼鼠颈动脉体中酪氨酸羟化酶和神经激肽1受体下调相关的呼吸化学反射。
Toxicol Sci. 2016 Sep;153(1):103-11. doi: 10.1093/toxsci/kfw108. Epub 2016 Jun 21.
2
The pathologist and the sudden infant death syndrome.病理学家与婴儿猝死综合征
Am J Pathol. 1982 Jan;106(1):118-31.
3
Carotid body hyperplasia in cystic fibrosis and cyanotic heart disease. A combined morphometric, ultrastructural, and biochemical study.
囊性纤维化和青紫型心脏病中的颈动脉体增生。一项形态计量学、超微结构和生物化学的联合研究。
Am J Pathol. 1985 May;119(2):301-14.