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Fibrohistiocytic tumors. Fibrohistiocytic肿瘤。
Pub Date : 1996-01-01 DOI: 10.3109/9781420019292-43
P. Guerrieri, P. Montemaggi, B. Huth, C. Roedel, Stephan Mose, H. Hricak, O. Akin, H. Vargas, D. Indelicato, R. Sagerman, Lydia T. Komarnicky-Kocher, A. Dragun, Brandon J. Fisher, L. Daugherty, D. Michalski, M. Huq, B. Hasson, Lindsay G. Jensen, L. Mell, Filip T. Troicki
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引用次数: 40
Atherosclerotic plaques: natural and unnatural history. 动脉粥样硬化斑块:自然和非自然的历史。
Pub Date : 1995-01-01
W D Edwards
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引用次数: 0
Pathologic considerations in replacement heart valves and other cardiovascular prosthetic devices. 替换心脏瓣膜和其他心血管假体装置的病理学考虑。
Pub Date : 1995-01-01
F J Schoen
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引用次数: 0
Myocardial ischemia and reperfusion. 心肌缺血和再灌注。
Pub Date : 1995-01-01
R B Jennings, C Steenbergen, K A Reimer

Myocardial infarction is a dynamic process that begins with the transition from reversible to irreversible ischemic injury and culminates in the replacement of dead myocardium by a fibrous scar. Many biochemical and metabolic changes have been observed early after the onset of ischemia, but the precise cause of the transition to irreversibility has not been elucidated. However, disruption of the plasmalemma of the sarcolemma is an early event, the presence of which indicates that the ischemic myocytes are dead. Not all ischemic myocytes become irreversibly injured simultaneously in experimental infarction in the canine heart; rather, myocytes die in a transmural wavefront of cell death proceeding from the subendocardial to the subepicardial myocardium with the subendocardial layer dying first and the subepicardial layer last. About 6 hours of ischemia are required to complete the wave-front. During the reversible phase of ischemic injury, reperfusion salvages all ischemic myocytes in all layers, but once lethal injury begins to develop, reperfusion salvages reversibly injured myocytes that are located chiefly in the subepicardial and midmyocardial layers and thereby limits the transmural extent of infarction. The gradual evolution of cell death in experimental acute ischemia provides a basis for limitation of infarct size by reperfusion with arterial blood in man. Many functions of myocardium subjected to reversible episodes of ischemia return to the control condition a few seconds or minutes after the onset of reperfusion. Others, such as repletion of the adenine nucleotide pool, require hours to days to repair. Reversibly injured myocardium exhibits reduced contractile efficiency, termed stunning, which is a form of reperfusion injury. Stunning is reversible; it disappears after hours or days of reperfusion. Finally, reversibly injured myocardium develops adaptive changes that protect it against subsequent episodes of ischemia. One such change, termed ischemic preconditioning, persists for 1-2 hours and serves to delay the development of cell death if the tissue is subjected to a new prolonged episode of ischemia. Another, heat shock protein synthesis, does not appear until the tissue has been reperfused for 12-24 hours; it also protects the myocardium against subsequent ischemic injury. The molecular mechanisms underlying stunning, ischemic preconditioning, and heat shock protein synthesis remain to be established.

心肌梗死是一个动态过程,从可逆到不可逆的缺血性损伤转变开始,最终以纤维瘢痕取代坏死心肌而告终。许多生化和代谢的变化在缺血发生后早期被观察到,但过渡到不可逆性的确切原因尚未阐明。然而,肌膜质膜的破坏是一个早期事件,它的存在表明缺血肌细胞已经死亡。在实验性心肌梗死中,并非所有缺血心肌细胞同时发生不可逆损伤;相反,心肌细胞是在从心内膜下到心外膜下的细胞死亡的跨壁波前中死亡的,心内膜下层首先死亡,心外膜下层最后死亡。大约需要6小时的缺血来完成波前。在缺血损伤的可逆性阶段,再灌注挽救了各层的所有缺血肌细胞,但一旦致死性损伤开始发展,再灌注挽救了主要位于心外膜下和心肌中层的可逆性损伤肌细胞,从而限制了梗死的跨壁范围。实验性急性缺血中细胞死亡的逐渐演变为动脉血流再灌注限制梗死面积提供了依据。可逆性缺血发作后,心肌的许多功能在再灌注开始后几秒或几分钟内恢复到对照状态。其他的,如腺嘌呤核苷酸库的补充,则需要数小时到数天的时间来修复。可逆性损伤心肌表现为收缩效率降低,称为休克,这是再灌注损伤的一种形式。惊艳是可逆的;再灌注数小时或数天后消失。最后,可逆性损伤的心肌发生适应性变化,保护其免受随后的缺血发作。其中一种变化,称为缺血预处理,持续1-2小时,如果组织遭受新的长时间缺血发作,可延迟细胞死亡的发展。另一种是热休克蛋白合成,直到组织再灌注12-24小时才出现;它还保护心肌免受随后的缺血性损伤。休克、缺血预处理和热休克蛋白合成的分子机制仍有待确定。
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引用次数: 0
Diagnostic vascular pathology: still the old fashion way. 诊断血管病理:仍然是老式的方式。
Pub Date : 1995-01-01
J T Lie
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引用次数: 0
Problems in forensic cardiovascular pathology. 法医心血管病理学中的问题。
Pub Date : 1995-01-01
R Virmani, A P Burke, A Farb, J Smialek

Do we have a magic yardstick that will establish whether SCD of the patient is definitely caused by the presence of an underlying abnormality? We are afraid that in most cases of cardiac disease the cause of death is at best probable, or even presumed. It has always been that circumstantial evidence has helped us establish that the cause of death is related to the anatomic abnormality. Even the presence of severe coronary artery disease in a patient who dies suddenly, especially in the absence of a thrombus, cannot be stated categorically to be the cause and effect. With the knowledge we have today, establishing cause and effect are difficult in most cases of SCD.

我们是否有一个神奇的标准来确定患者的SCD是否一定是由潜在的异常引起的?我们担心,在大多数心脏病病例中,死亡原因最多是可能的,甚至是假定的。一直是间接证据帮助我们确定死因与解剖异常有关。即使在突然死亡的病人中存在严重的冠状动脉疾病,特别是在没有血栓的情况下,也不能明确地说明是因果关系。根据我们今天的知识,在大多数SCD病例中很难确定因果关系。
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引用次数: 0
Update on the pathobiology of vasculitis. 血管炎的病理生物学进展。
Pub Date : 1995-01-01
J C Jennette, R J Falk
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引用次数: 0
Atherogenesis: current concepts. 动脉粥样硬化:当前的概念。
Pub Date : 1995-01-01
M A Gimbrone
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引用次数: 0
Surgical pathology of the heart: endomyocardial biopsy, valvular heart disease, and cardiac tumors. 心脏外科病理:心内膜活检、瓣膜病和心脏肿瘤。
Pub Date : 1995-01-01
H D Tazelaar
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引用次数: 0
Pathology of human cardiac transplantation. 人心脏移植病理学。
Pub Date : 1995-01-01
M E Billingham
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引用次数: 0
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Monographs in pathology
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