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[缺血性心脏病中冠状动脉粥样硬化的形态发生特征]

[Characteristics of morphogenesis of coronary arteriosclerosis in ischemic heart disease].

作者信息

Smolíannikov A V, Naddachina T A

出版信息

Arkh Patol. 1976;38(5):19-27.

PMID:66914
Abstract

Characteristics of morphogenesis of plaques in the coronary arteries were studied in persons aged up to 50 years who had died of various forms of ischemic heart disease (IHD). It had been established to be different and in many respects to be dependent upon local and hemodynamic factors originating in connection with IHD. Hyalinized plaques were isolated, in their development a leading role was played by dysoric phenomena in the vascular wall developed because of acute hypoxia in the course of an attack of acute IHD. There were also revealed peculiar fibrous plaques formed in the distal regions of stenosed coronary arteries as a result of the overgrowth of the intima under conditions of hypovolemia. The authors failed to establish the morphogenesis of "old" plaques with lipid deposits.

摘要

对死于各种形式缺血性心脏病(IHD)的50岁及以下人群的冠状动脉斑块形态发生特征进行了研究。已确定其有所不同,并且在许多方面取决于与缺血性心脏病相关的局部和血流动力学因素。分离出了玻璃样变斑块,在其发展过程中,急性缺血性心脏病发作时由于急性缺氧导致血管壁出现的排列紊乱现象起了主导作用。还发现了在低血容量情况下,由于内膜增生而在狭窄冠状动脉远端区域形成的特殊纤维斑块。作者未能确定有脂质沉积的“陈旧”斑块的形态发生过程。

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