Kremer B, Frenzel H, Schoelmerich J, Allgöwer M, Schweitzer A, Schoenenberger G A
Chir Forum Exp Klin Forsch. 1977 Apr:145-50.
Ultrastructural alterations of the liver were examined on the 1st, 2nd, 3rd, 5th, 7th and 14th day after a standard burn in mice. Our results can be divided pathogenetically into two groups: 1. Alterations explained by the primary thermal injury including electron-optically empty vacuoles and sinusendothelium destruction. 2. Alteration due to the influence of a specific burn toxin including mitochondrial changes and the formation of autophagic vacuoles. Evidence of this distinction was produced by a second investigation. Burn toxin isolated from the serum of severely burned patients was injected intraperitoneally (15 mg) into 4 mice. The livers were examined by electron microscopy on the 2nd, 4th, 7th and 14th day. Alterations described in 2 above were not observed in any case of this investigation series. The nature and timing of liver alterations were similar to those described in 2 above. In none of the cases were changes similar to those in 1 above observed.
在小鼠标准烧伤后的第1、2、3、5、7和14天,对肝脏的超微结构改变进行了检查。我们的结果在发病机制上可分为两组:1. 由原发性热损伤引起的改变,包括电子光学上的空泡和肝血窦内皮破坏。2. 由特定烧伤毒素的影响引起的改变,包括线粒体变化和自噬空泡的形成。第二次研究提供了这种区别的证据。从严重烧伤患者血清中分离出的烧伤毒素以15毫克的剂量腹腔注射到4只小鼠体内。在第2、4、7和14天通过电子显微镜检查肝脏。在这个研究系列的任何病例中都未观察到上述2中描述的改变。肝脏改变的性质和时间与上述2中描述的相似。在任何病例中都未观察到与上述1中相似的变化。