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[创伤后脂肪栓塞的局部解剖学。肺戈夫切片的组织学和统计学研究(作者译)]

[Topography of posttraumatic fat embolism. Histological and statistical investigation of Gough-sections of the lung (author's transl)].

作者信息

Schellmann B, Schober H, Prestele H, Brunner P

出版信息

Z Rechtsmed. 1980;85(1):45-54. doi: 10.1007/BF02099166.

Abstract

In 50 fat-stained and foil-mounted Gough-sections of entire lungs in accidental death cases the topographic areas of fat-embolic blood vessel occlusions were estimated. For control, the same investigations were made in cases of nontraumatic death. Accumulation of fat-embolism was found in the arterior thirds of the upper and middle areas of the lung, while in the basal, the central, and the posterior parts the incidence of fat-embolic occlusions is significantly rarer. Similar results, although to a lesser degree, were found in the lungs of non-traumatized patients. A statistical study evaluated whether right or left lobe, sex, age, or time of survival after trauma influence the incidence and intensity of fat-embolic occlusions in the lung. The results were discussed.

摘要

在50例意外死亡病例的全肺经脂肪染色并裱贴于铝箔上的高夫切片中,对脂肪栓塞性血管闭塞的地形学区域进行了估计。作为对照,对非创伤性死亡病例进行了同样的研究。在肺上叶和中叶的前三分之一区域发现有脂肪栓塞的积聚,而在肺底部、中部和后部,脂肪栓塞性闭塞的发生率明显较低。在未受创伤患者的肺中也发现了类似结果,尽管程度较轻。一项统计研究评估了右叶或左叶、性别、年龄或创伤后存活时间是否会影响肺中脂肪栓塞性闭塞的发生率和严重程度。对结果进行了讨论。

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