Klishevich V A
Arkh Patol. 1975;37(9):54-61.
In studies of the lymphatic microcirculation bed in 300 neck and mesenterian lymph nodes taken from 27 patients who had died of systemic diseases, its transformation into lymphatic channels histogenetically connected with various processes in the nodes, was established. The rearrangement of the lymphatic microcirculation bed of the node developed concomitantly with that of the blood circulation bed. In the process of their transformation it seems possible to single out three phases with characteristic stereomorphological (macro-microscopic) and pathomorphological changes - compensation, decompensation and reduction. In reduction of the lymphatic microcirculatory bed around the lymph nodes, as manifestation of compensation, there were formed collaterals. Due to chronic congestion of the lymph, non-affected lymph nodes drastically dilatated and in their walls developed secondary changes in the form, of hyperthophy, varicosis sclerosis and hyalinosis. In the affected lymphatic vessels infiltrative-destructive processes developed.
在对27例死于全身性疾病患者的300个颈部和肠系膜淋巴结的淋巴微循环床进行的研究中,确定了其在组织发生学上转变为与淋巴结内各种过程相连的淋巴管。淋巴结淋巴微循环床的重新排列与血液循环床的重新排列同时发生。在它们的转变过程中,似乎可以区分出三个具有特征性立体形态学(宏观-微观)和病理形态学变化的阶段——代偿、失代偿和消退。作为代偿的表现,在淋巴结周围淋巴微循环床消退时形成了侧支。由于淋巴长期淤血,未受影响的淋巴结显著扩张,其壁上出现了肥厚、静脉曲张性硬化和玻璃样变性等继发性变化。在受影响的淋巴管中发生了浸润性破坏过程。