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尸检病例中的冠状动脉粥样硬化、冠状动脉血栓形成和心肌梗死。第九篇通讯:冠状动脉血栓形成与心肌梗死的关系(作者译)

[Coronary atherosclerosis, coronary thrombosis and myocardial infarction in autopsy cases. 9th communication: relationship of coronary thrombosis and myocardial infarction (author's transl)].

作者信息

Böttger W, Güthert H, Vollmar F, Böttger U

出版信息

Zentralbl Allg Pathol. 1978;122(4):360-9.

PMID:716657
Abstract

The autopsy reports of the Pathological Institute Erfurt of the period from 1.1.1951 until 31.12.1969 were scored for cases of myocardial infarction and coronary thrombosis. Among 2,393 morphologically analysed myocardial infarctions 454 coronary thromboses (18.97 per cent) were found. Males were significantly more affected than females. Fresh infarcts showed significantly more thromboses than callous infarcts. We found fresh and occluding vessel thromboses more frequently in fresh infarctions. The analysis of age distribution yielded an increase of the rate of thrombosis in cases with myocardial infarction. On the other hand, the frequency of infarctions in cases with a coronary thrombosis was decreasing. It is suggested that the risk for infarctions is larger in younger people with coronary thrombosis than in older ones. No infarctions were detected in 165 cases of thrombosis. Preferably this group includes those cases in which the patients deceased within 6 to 8 hours and, therefore, the infarction was not morphologically detectable.

摘要

对爱尔福特病理研究所1951年1月1日至1969年12月31日期间的尸检报告进行了心肌梗死和冠状动脉血栓形成病例的评分。在2393例经形态学分析的心肌梗死病例中,发现454例冠状动脉血栓形成(占18.97%)。男性受影响的程度明显高于女性。新鲜梗死灶的血栓形成明显多于陈旧性梗死灶。我们发现新鲜梗死灶中新鲜和闭塞性血管血栓形成更为常见。年龄分布分析显示心肌梗死病例中血栓形成率有所增加。另一方面,冠状动脉血栓形成病例中的梗死频率在下降。这表明冠状动脉血栓形成的年轻人发生梗死的风险比老年人更大。在165例血栓形成病例中未检测到梗死。该组最好包括那些患者在6至8小时内死亡、因此梗死在形态学上无法检测到的病例。

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1
[Coronary atherosclerosis, coronary thrombosis and myocardial infarction in autopsy cases. 9th communication: relationship of coronary thrombosis and myocardial infarction (author's transl)].尸检病例中的冠状动脉粥样硬化、冠状动脉血栓形成和心肌梗死。第九篇通讯:冠状动脉血栓形成与心肌梗死的关系(作者译)
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2
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3
[Coronary atherosclerosis, coronary thrombosis and myocardial infarction in autopsy cases. 8th communication: Relationship of coronary atherosclerosis and myocardial infarction (author's transl)].尸检病例中的冠状动脉粥样硬化、冠状动脉血栓形成与心肌梗死。第八篇通讯:冠状动脉粥样硬化与心肌梗死的关系(作者译)
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