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1052例肝炎肝内血管病变的形态观察 被引量:33

MORPHOLOGICAL OBSERVATIONS ON LESIONS OF HEPATIC BLOOD VESSELS OF PA-TIENTS WITH VIRAL HEPATITIS:ANALYSIS OF 1052 CASES
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摘要 通过对1052例肝炎肝组织的HE、组织化学及免疫组织化学染色观察,发现其肝内血管有炎症、破坏、增生及阻塞四种病变,并制定了评级标准。结果表明:①急、慢性肝炎皆有血管炎症、破坏及阻塞病变,其随肝病变加重而上升(P<0.001);②血管增生可导致弹力纤维及FN增多而引起肝硬化;③ASH、SSH及CSH肝内血管明显破坏及阻塞而导致肝梗塞,预后不良。这些发现为肝炎病理机制的研究提供了形态学依据。 he morphological changes in hepatic blood vessels of 1052 patients with viral hepatitis have been strdied by HE.hisochemistry and immunohistochemistry stain .There are four types of lesions in he-patic blood vessels of inflammation, damage, proliferation and occlusion,and sinus dilation or sludge.The inflammation, damage,and occlusion of the blood vessels are commonly seen in both acute and chronic he patitis, which are in accordandce with hepatic pathological changes(P<0.001).Proliferation of the blood vessels can cause the aggregation of collagen,elastic fibril and fibronectin, which led to hepatic cirrhosis.Occlusion of the(interlobular) vessels causing local(or multi-)infarctions is the typi-cal presentation in ASH, SSH,and CSH. Lesions of blood vessels and sinus could impair the supply of oxygen and nutrition liver cells which led to necrosis, degeneration, swelling of the parenchymal cells. All of these results might be helpful to the reseach of pathogenesis of viral hepatitis.
出处 《肝脏病杂志》 CSCD 1995年第3期155-157,共3页
关键词 肝炎 肝内血管病变 肝梗塞 病理学 Viral hepatitis Liver infarction Blood vessel
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