Chadimová M, Bohdanecká M
Patologicko-anatomické pracovistĕ IKEM, Praha.
Cas Lek Cesk. 1995 Jun 14;134(12):378-81.
The authors investigated in rats after unilateral nephrectomy morphological changes in the remaining kidney where the blood flow was arrested for 20, 30, 45 or 60 min. The investigation period was 24 hours, 3, 7, 14, 21 and 28 days after ischaemization. After short-term ischaemia monocellular necroses of the cortex epithelium in the canals occurs and rapid regeneration. In the initial stages after 20 min. ischaemia and in all periods after 30 min. ischaemia the authors observed slight hyperplasia of the juxtaglomerular apparatus manifested by fine granulations. After ischaemia persisting for 45 min. in addition to necroses of the tubules regressive arterial changes are observed with subsequent regeneration from the deep cortex to the surface. After discontinuation of the blood flow for 60 min. the animals die after 7 days with diffuse damage of the cortical parenchyma and regression of smooth muscle cells of the arterial walls with subsequent insudates of the media.
作者研究了单侧肾切除术后大鼠剩余肾脏在血流阻断20、30、45或60分钟后的形态学变化。研究期为缺血后24小时、3、7、14、21和28天。短期缺血后,肾小管皮质上皮出现单细胞坏死并迅速再生。在缺血20分钟后的初始阶段以及30分钟缺血后的所有时期,作者观察到肾小球旁器轻度增生,表现为细微颗粒。缺血持续45分钟后,除肾小管坏死外,还观察到动脉退行性改变,随后从深皮质向表面再生。血流阻断60分钟后,动物在7天后死亡,皮质实质弥漫性损伤,动脉壁平滑肌细胞退变,随后介质渗出。