Zubritsky A N
Pathology Department, Central Regional Hospital, Taldom, USSR.
Pathol Res Pract. 1993 Feb;189(1):42-51. doi: 10.1016/S0344-0338(11)80115-9.
The difference between macro- and micrometric parameters of the right ventricle of the heart was studied in 26 autopsy cases of chronic nonspecific pulmonary disease, and 11 cases of violent death without pulmonary or cardiac disease from the institute of forensic medicine, matching in age and sex with the first group. The results obtained from organ and tissue analysis enabled us to determine the most informative parameters common for compensation and decompensation status of cor pulmonale: Width, wall thickness, and weight of the right ventricle, thickness of cardiomyocytes and cross-section of their nuclei. Analysis of morphometric parameters at the compensation stage revealed a specific diagnostic value in the circumference of the pulmonary artery and the volume density of focal cardiomyocytic lesions. For the decompensation stage, it was possible to gain specific diagnostic information from the length of inflow into the right ventricle, and from the volume and density of sclerotic foci.
在法医学研究所对26例慢性非特异性肺部疾病的尸检病例以及11例无肺部或心脏疾病的暴力死亡病例进行了研究,这些暴力死亡病例在年龄和性别上与第一组相匹配。通过器官和组织分析获得的结果使我们能够确定肺心病代偿和失代偿状态共有的最具信息量的参数:右心室的宽度、壁厚和重量、心肌细胞厚度及其细胞核横截面积。对代偿期形态计量学参数的分析显示,肺动脉周长和局灶性心肌细胞病变的体积密度具有特定的诊断价值。对于失代偿期,可以从右心室流入段的长度以及硬化灶的体积和密度中获得特定的诊断信息。