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[心肌梗死时肺部的形态学变化]

[Morphological changes in the lungs in myocardial infarct].

作者信息

Shliapnikov V N, Taranenko L I, Uglova M V, Serebriakova G D

出版信息

Arkh Patol. 1977;39(8):22-8.

PMID:921558
Abstract

Morphologica lesions in the lungs were studied in 48 rabbits with experimental myocardial infarction and in 17 fatal cases where death occurred at various intervals after the onset of myocardial infarction. The study revealed 4 interrelated stages of morphological lesions in the lungs due to the development of myocardial infarction: (1) hypoatelectasis, (2) classical atelectasis, (3) the stage of alveolitis, (4) the stage of bronchopneumonia. A certain regularity was established in the dynamics of the oxidative-reductive enzymes in alveolar cells: early in the disease the activity of succinate-, malate- and lactatedehydrogenase decreased but by the end of the 1st week began to recover. In cases where atelectasis was complicated by bronchopneumonia the activity of succinatedehydrogenase again decreased.

摘要

对48只患有实验性心肌梗死的兔子以及17例在心肌梗死发病后不同时间间隔死亡的致命病例的肺部形态学病变进行了研究。该研究揭示了由于心肌梗死的发展,肺部形态学病变存在4个相互关联的阶段:(1)肺膨胀不全,(2)典型肺不张,(3)肺泡炎阶段,(4)支气管肺炎阶段。在肺泡细胞氧化还原酶的动态变化中发现了一定规律:疾病早期琥珀酸脱氢酶、苹果酸脱氢酶和乳酸脱氢酶的活性降低,但在第1周末开始恢复。在肺不张并发支气管肺炎的病例中,琥珀酸脱氢酶的活性再次降低。

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