Horrocks P, Tapp E
J Clin Pathol. 1966 Sep;19(5):475-8. doi: 10.1136/jcp.19.5.475.
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.
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。