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[心脏性猝死中心脏传导系统的变化]

[Changes in the heart conduction system in sudden cardiac death].

作者信息

Kop'eva T N

出版信息

Arkh Patol. 1981;43(3):26-30.

PMID:7236027
Abstract

The conductive system of the heart was studied morphometrically in serial sections in 12 autopsy observations of sudden cardiac death. In 11 cases the sudden death was due to chronic ischemic disease of the heart, in 1 case to idiopathic myocarditis of Abramov-Fidler. The control consisted of 12 autopsy observations of subjects dying of mechanical trauma, alcoholic toxicity, cerebral hemorrhage in the presence of hypertension. In 4 out of 12 observations of sudden cardiac death, acute dyscirculatory disorders of the microcirculatory bed and focal destructive changes of specific muscle fibers were detected in the conductive system of the heart. The intensity of atrophic and sclerotic processes in ganglions of the conductive system was not significantly different from that in the controls.

摘要

在12例心脏性猝死的尸检观察中,通过连续切片对心脏传导系统进行了形态计量学研究。11例猝死归因于慢性缺血性心脏病,1例归因于阿布拉莫夫 - 菲德勒特发性心肌炎。对照组包括12例死于机械性创伤、酒精中毒、高血压性脑出血的尸检观察。在12例心脏性猝死观察中,有4例在心脏传导系统中检测到微循环床的急性循环障碍和特定肌纤维的局灶性破坏改变。传导系统神经节中萎缩和硬化过程的强度与对照组无显著差异。

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