缺血性心脏病冠状动脉粥样硬化的形态学和发病机制。

V A Nagornev
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引用次数: 0

摘要

冠状动脉表面在动脉粥样硬化的所有阶段都发生明显的变化。内皮细胞单层内的结构和功能重排反映了发病过程中某种程度的防御或适应性反应。形成坑状缺陷和单核细胞粘连是动脉粥样硬化初始阶段的一个恒定特征。在动脉粥样硬化的初始阶段可以观察到局部形成的微血栓。内皮损伤及其再生发生在动脉粥样硬化的所有阶段。单核细胞来源的巨噬细胞在泡沫细胞的形成中起关键作用。
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Morphologic and pathogenetic aspects of coronary artery atherosclerosis in ischemic heart disease.

The surface of coronary arteries is subjected to pronounced changes in all stages of atherogenesis. Structural and functional re-arrangements within the endothelial cell monolayer reflect one or another degree of manifestation of defensive or adaptative reactions in the course of pathogenesis. The formation of crater-like defects and monocyte adhesions is a constant and characteristic feature of initial stages of atherosclerosis. Focal formation of microthrombi can be observed in initial stages of atherogenesis. Endothelium impairment and its regeneration occur at all stages of atherogenesis. Macrophages of monocyte origin play a key role in the formation of foam cells.

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