Pawlikowski M, Pfitzner R, Wachowiak J
Laboratory of Biomineralogy, Academy of Mining and Metallurgy, Kraków, Poland.
Mater Med Pol. 1994 Jan-Mar;26(1):3-8.
Mineralogical investigations of calcifications located in coronary vessels were performed on the material obtained from the endarterectomized arteries of 18 patients (15 M, 3 F, aged 36-65) during surgical revascularization procedures consisting in coronary artery bypass grafting. The samples were tested using scanning microscopy, X-ray diffractometry, infrared spectroscopy, atomic absorption spectroscopy, electron microprobe and neutron activation spectroscopy. The results of analyses were calculated with the use of computer programmes. Two types of mineralization were determined: 1. secret mineralization identified as higher than normal content of elements in biological tissues, not demonstrating any mineral grains, and 2. apparent mineralization, appearing micro- and macroscopically as grains composed mainly of hydroxyapatite containing admixture of carbonate groups, i.e. a mineral identical with apatite present in bones, or as calcification of other tissues (heart valves, lungs etc.). The authors suggest that the phenomenon of mineralization should be taken into consideration in the preventive treatment of coronary atheriosclerosis.
对18例患者(15例男性,3例女性,年龄36 - 65岁)在冠状动脉搭桥手术血管重建过程中取自内膜切除术动脉的材料进行了冠状动脉血管钙化的矿物学研究。使用扫描显微镜、X射线衍射仪、红外光谱仪、原子吸收光谱仪、电子微探针和中子活化光谱仪对样本进行了检测。分析结果使用计算机程序进行计算。确定了两种矿化类型:1. 隐匿性矿化,被确定为生物组织中元素含量高于正常水平,未显示任何矿物颗粒;2. 明显矿化,在微观和宏观上表现为主要由含碳酸基团混合物的羟基磷灰石组成的颗粒,即与骨骼中存在的磷灰石相同的矿物,或表现为其他组织(心脏瓣膜、肺等)的钙化。作者建议在冠状动脉粥样硬化的预防性治疗中应考虑矿化现象。