Erokhin V V, Zemskova Z S, Uvarova O A, Kazak T I, Surkova L K, Ariél' B M, Krasnov S A
Probl Tuberk. 1996(4):32-7.
This communication is a letter of information that gives for postmortem diagnosis a brief account of tuberculous inflammation and major types of pulmonary tuberculosis during their progression to death and an approximate outline of pathoanatomical diagnosis. Terminal tuberculosis is shown to be now complicated by miliary and caseous pneumonias. Caseous pneumonia may appear as an independent nosological entity and as a complication of acute progression, more frequently, of fibrocavernous tuberculosis. Caseous pneumonia as a tuberculosis type is an irreversible process that calls for emergency surgical treatment. It has been found that there are primarily impairments in lung connective tissue function, acute mesenchymopathy with high blood barrier permeability in caseous pneumonia. Terminal bronchiolar lesion is a later stage in the pathogenesis of caseous pneumonia.
本通讯是一份情况通报，简要介绍了结核性炎症及肺结核主要类型在进展至死亡过程中的情况，以及病理解剖诊断的大致轮廓，用于尸检诊断。晚期肺结核目前并发粟粒性肺炎和干酪性肺炎。干酪性肺炎可能表现为一种独立的疾病实体，更常见的是作为急性进展的并发症，尤其是纤维空洞性肺结核的并发症。作为肺结核一种类型的干酪性肺炎是一个不可逆的过程，需要紧急手术治疗。研究发现，主要存在肺结缔组织功能损害，干酪性肺炎时伴有高血屏障通透性的急性间质性病变。终末细支气管病变是干酪性肺炎发病机制的后期阶段。
