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非心源性休克时心脏的病理解剖

Pathological anatomy of the heart in noncardiogenic shock.

作者信息

Piazza M, Terribile Wiel Marin V

出版信息

Appl Pathol. 1983;1(5):264-75.

PMID:6205670
Abstract

The main study methods used in situations of cardiogenic shock were applied to the hearts of patients who died of noncardiogenic shock, namely, the macroscopic nitro-BT test and histological examination for waves, contraction bands and coagulation necrosis. The hearts studied were obtained at autopsy from 20 patients who had died of hemorrhage due to the rupture of esophageal varices, from 18 patients who had died of massive pulmonary embolism and 15 patients who had died of noncardiogenic shock of different origin as well as 20 Wistar albino rats subjected to hemorrhagic shock. It was seen that all the forms of shock that were examined led to severe ischemic myocardial damage, as demonstrated by a positive nitro-BT test.

摘要

用于心源性休克情况的主要研究方法应用于死于非心源性休克患者的心脏,即宏观硝基蓝四唑试验以及对波浪、收缩带和凝固性坏死的组织学检查。所研究的心脏取自尸检时的20例因食管静脉曲张破裂出血死亡的患者、18例因大面积肺栓塞死亡的患者、15例因不同原因死于非心源性休克的患者以及20只遭受失血性休克的Wistar白化大鼠。结果发现,所有检查的休克形式均导致严重的缺血性心肌损伤,硝基蓝四唑试验呈阳性即证明了这一点。

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