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妊娠中毒症产后女性的残余肾小球病变

Residual glomerular lesions in postpartal women with toxemia of pregnancy.

作者信息

Furukawa T, Shigematsu H, Aizawa T, Oguchi H, Furuta S

出版信息

Acta Pathol Jpn. 1983 Nov;33(6):1159-69. doi: 10.1111/j.1440-1827.1983.tb02161.x.

DOI:10.1111/j.1440-1827.1983.tb02161.x
PMID:6367353
Abstract

Renal biopsies from 10 patients who had residual symptoms of toxemia of pregnancy were examined by light, electron and immunofluorescent microscopy. The biopsies were performed 1 month to 3 months postpartum. The glomeruli showed a similar lesion, even though to a lesser degree, to that found in toxemia of pregnancy. Subepithelial swellings and endothelial cytoplasmic microtubular structures were also observed. Mesangial and monocyte-like cells contained lysosomes, cholesterol clefts and lipid-containing vacuoles with or without myelin figures, suggesting reparative process in the glomeruli. The present study indicates that the glomerular injury persists for a few months after delivery, together with the concurrent reparative process.

摘要

对10例有妊娠中毒症残留症状的患者进行了肾活检,采用光镜、电镜和免疫荧光显微镜检查。活检在产后1个月至3个月进行。肾小球显示出与妊娠中毒症中发现的病变相似的病变,尽管程度较轻。还观察到上皮下肿胀和内皮细胞质微管结构。系膜细胞和单核细胞样细胞含有溶酶体、胆固醇裂隙和含脂质的空泡,有或没有髓鞘样结构,提示肾小球的修复过程。本研究表明,分娩后肾小球损伤持续数月,同时伴有修复过程。

相似文献

1
Residual glomerular lesions in postpartal women with toxemia of pregnancy.妊娠中毒症产后女性的残余肾小球病变
Acta Pathol Jpn. 1983 Nov;33(6):1159-69. doi: 10.1111/j.1440-1827.1983.tb02161.x.
2
The similarity of lesions and underlying mechanism in preeclamptic toxemia and postpartum renal failure: studies in the acute stage and during follow up.先兆子痫和产后肾衰竭中病变及潜在机制的相似性:急性期及随访研究
Perspect Nephrol Hypertens. 1973;1 Pt 2(0):1013-25.
3
The histopathology of the kidney in toxaemia. Serial renal biopsies during pregnancy, puerperium and several years postpartum. Light and electron microscopic and immunofluorescent studies.毒血症时肾脏的组织病理学。孕期、产褥期及产后数年的系列肾脏活检。光镜、电镜及免疫荧光研究。
Virchows Arch A Pathol Pathol Anat. 1968;345(4):299-309. doi: 10.1007/BF00586248.
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Morphometric analysis of pre-eclampsia in women biopsied in pregnancy and post-partum.对孕期及产后活检的子痫前期女性进行形态计量分析。
Kidney Int. 1988 Nov;34(5):704-11. doi: 10.1038/ki.1988.236.
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De novo focal glomerular sclerosis in preeclampsia.子痫前期的新发局灶节段性肾小球硬化
Clin Nephrol. 1986 Mar;25(3):116-21.
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Postpartum resolution of glomerular changes in edema-proteinuria-hypertension gestosis.水肿 - 蛋白尿 - 高血压性妊娠中毒症肾小球变化的产后消退
Ren Physiol. 1980;3(1-6):375-9. doi: 10.1159/000172786.
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Intra-renal coagulation in toxemia, abruptio placentae and post-partum renal failure.毒血症、胎盘早剥及产后肾衰竭中的肾内凝血。
Bibl Anat. 1973;12:70-6.
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[An electron microscopic study of the glomerular alterations of pure-preeclampsia].[纯子痫前期肾小球改变的电子显微镜研究]
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Glomerular endotheliosis in normal pregnancy and pre-eclampsia.正常妊娠和子痫前期中的肾小球内皮病变
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Scanning electron microscopic study on the angioarchitecture of glomeruli in experimental toxemia of pregnancy in the rabbit.家兔实验性妊娠毒血症肾小球血管构筑的扫描电镜研究
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