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慢性支气管炎和支气管哮喘支气管活检材料的形态学研究(作者译)

[Morphological investigations of bronchial biopsy material in chronic bronchitis and asthma bronchiale (author's transl)].

作者信息

Eckert H, Grollmuss H, Dehnert I, Sehrt I, Wiesner B

出版信息

Z Erkr Atmungsorgane. 1979 Mar;152(3):247-56.

PMID:494693
Abstract

Morphological investigations (light microscopy, enzyme histochemistry, immunopathology) were carried out in cases with asthma bronchiale and chronic bronchitis. According to the histological picture no additional parameters were found with enzyme histochemical and immunopathological methods to specify the diagnosis asthma bronchiale and chronic bronchitis. The most important diagnostic factors in chronic bronchitis are hyperplasy of mucous bronchial glands and atrophy of serous bronchial glands with a loss of activity of acid phosphatase. Diffuse thickenings of basal membrane were more often in asthma bronchiale, localized thickenings more often in chronic bronchitis. Hypertrophy of goblet cells, infiltrations with round cells and metaplasia are found both in asthma bronchiale and chronic bronchitis in different degree. Correlations exist between the activity of leucine aminopeptidase in the stroma of the bronchus and degree of cellular infiltration with lymphocytes and plasma cells.

摘要

对支气管哮喘和慢性支气管炎患者进行了形态学研究(光学显微镜检查、酶组织化学、免疫病理学)。根据组织学图像,酶组织化学和免疫病理学方法未发现额外参数来明确支气管哮喘和慢性支气管炎的诊断。慢性支气管炎最重要的诊断因素是支气管黏液腺增生和浆液性腺萎缩,同时酸性磷酸酶活性丧失。基底膜弥漫性增厚在支气管哮喘中更为常见,局限性增厚在慢性支气管炎中更为常见。杯状细胞肥大、圆形细胞浸润和化生在支气管哮喘和慢性支气管炎中均有不同程度的发现。支气管基质中亮氨酸氨肽酶的活性与淋巴细胞和浆细胞的细胞浸润程度之间存在相关性。

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