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肝的察恩氏“梗死灶”

Zahn's 'infarcts' of the liver.

作者信息

Horrocks P, Tapp E

出版信息

J Clin Pathol. 1966 Sep;19(5):475-8. doi: 10.1136/jcp.19.5.475.

DOI:10.1136/jcp.19.5.475
PMID:5919359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC473353/
Abstract

Three patients were found at necropsy to have Zahn's ;infarcts' of the liver. In one of these cases the ;infarct' merely showed severe centrilobular congestion. In the other two cases there was centrilobular necrosis, and in one of these early fibrosis was seen. Portal vein occlusion was present in all three cases and this had followed splenectomy in two of them. There was no evidence of hepatic artery or vein occlusion. Circulatory failure is considered to have played a part in the pathogenesis of the lesions.

摘要

尸检发现三名患者有肝脏的“扎恩梗死”。其中一例“梗死”仅表现为严重的小叶中心充血。另外两例有小叶中心坏死，其中一例可见早期纤维化。三例均存在门静脉阻塞，其中两例是在脾切除术后发生的。没有肝动脉或静脉阻塞的证据。循环衰竭被认为在病变的发病机制中起了作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/3818a86ffada/jclinpath00364-0065-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/99ae87cb6345/jclinpath00364-0064-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/273eb5de0714/jclinpath00364-0064-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/bff7f005aaa1/jclinpath00364-0064-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/3818a86ffada/jclinpath00364-0065-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/99ae87cb6345/jclinpath00364-0064-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/273eb5de0714/jclinpath00364-0064-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/bff7f005aaa1/jclinpath00364-0064-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa15/473353/3818a86ffada/jclinpath00364-0065-a.jpg

相似文献

1
Zahn's 'infarcts' of the liver.肝的察恩氏“梗死灶”
J Clin Pathol. 1966 Sep;19(5):475-8. doi: 10.1136/jcp.19.5.475.
2
Portal embolism following thrombosis of splenic vein, and causing infarct-like cyanotic atrophy ('Zahn's infarcts') of the liver; a complication of splenectomy performed in the course of total gastrectomy.脾静脉血栓形成后发生门静脉栓塞，并导致肝脏出现梗死样青紫色萎缩（“察恩梗死”）；全胃切除术中脾切除术的一种并发症。
Br J Surg. 1951 Apr;38(152):498-502. doi: 10.1002/bjs.18003815212.
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[A case of pseudoinfarct of the liver (Zahn's infarct)].[肝假性梗死一例（察恩梗死）]
Rinsho Hoshasen. 1990 Aug;35(8):975-8.
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Pseudointimal biliary epithelial proliferation and Zahn's infarct associated with a 6 1/2-month-old transjugular intrahepatic portosystemic shunt.与6个半月大的经颈静脉肝内门体分流术相关的假内膜性胆管上皮增生和扎恩梗死。
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Pathogenesis of centrilobular necrosis following congestion of the liver.肝脏充血后小叶中心坏死的发病机制。
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[Segmental liver atrophy in intrahepatic portal vein thrombosis].
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[Routine screening of splenic or portal vein thrombosis after splenectomy].脾切除术后脾静脉或门静脉血栓形成的常规筛查
Rev Med Interne. 2017 Jan;38(1):3-7. doi: 10.1016/j.revmed.2016.08.003. Epub 2016 Sep 14.
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J Clin Exp Hepatol. 2025 Jul-Aug;15(4):102533. doi: 10.1016/j.jceh.2025.102533. Epub 2025 Feb 22.
2
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High serum alpha-fetoprotein concentration associated with pseudoinfarction of a cirrhotic liver: report of a case.

本文引用的文献

1
The control of circulation through the liver.通过肝脏的血液循环控制。
J Physiol. 1932 Apr 26;74(4):343-75. doi: 10.1113/jphysiol.1932.sp002854.
2
Infarcts of the liver.肝梗死
Gastroenterology. 1951 Apr;17(4):479-93.
3
Venous distribution in livers; comparison in man and experimental animals and application to the morphogenesis of cirrhosis.肝脏中的静脉分布；人类与实验动物的比较及其在肝硬化形态发生中的应用
血清甲胎蛋白浓度升高与肝硬化肝脏假性梗死相关：病例报告
Surg Today. 1996;26(10):818-21. doi: 10.1007/BF00311644.
AMA Arch Pathol. 1955 Mar;59(3):332-40.
4
Arterial infarction of the liver in man.人类肝脏的动脉梗死
J Pathol Bacteriol. 1955 Oct;70(2):521-8. doi: 10.1002/path.1700700230.