[不同胎龄胎儿肺组织学]。

Q4 Medicine Arkhiv patologii Pub Date : 2024-01-01 DOI:10.17116/patol20248601165
A G Talalaev, I S Davydov
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引用次数: 0

摘要

本讲座主要介绍胎儿时期肺组织结构成熟的形态特征。胎儿肺组织学将肺组织的宫内发育分为四个连续阶段:假腺体期、管状期、囊状期和肺泡期,每个阶段都有特定的形态学标准。以下形态特征是预先确定的:肺泡上皮的发育、间质与肺泡间隙面积的比例、微循环床血管的增殖程度和位置与肺泡前分区的比例。在胎儿时期,肺泡柱状上皮变平,并分化成肺泡细胞 I 型和 II 型,间质的面积逐渐减少,到足月新生儿出生时,间质主要存在于肺泡间隔之间的厚度中,微循环血管最初位于间质组织厚度的深处,后来逐渐增殖,接近肺泡前上皮,并通过肺泡毛细血管膜的形成将其导入。肺组织中的空气交换主要取决于两个因素:能够产生表面活性剂的二阶肺泡细胞的存在,以及肺泡的充分形成。本研究通过展示宫内发育不同阶段的肺组织学制备,总结了胎儿肺组织学的基础知识。
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[Histology of fetal lungs at different gestational age].

The lecture is devoted to the morphological characteristics of the maturation of lung tissue structures in the fetal period. Fetal histology of the lungs presents the intrauterine development of lung tissue in four successive stages: pseudoglandular, canalicular, saccular and alveolar, each has specific morphological criteria. The following morphological features are predetermined: the development of alveolar epithelium, the ratio of mesenchyme towards the area in alveolar spaces, the degree of proliferation and location of vessels of the microcirculatory bed towards prealveolar partitions. During the fetal period the alveolar columnar epithelium is flattened and differentiates into alveolocytes type I and II, the area of the mesenchyme gradually decreases and by the birth of a full-term newborn kid it is present mainly in the thickness between the alveolar septa, microcirculation vessels, initially laying deep in the thickness of the mesenchymal tissue, gradually proliferate, approach the pre-alveolar epithelium, channeling it with the formation of alveolar capillary membranes. Air exchange in the lung tissue is mainly provided with two factors: the presence of second-order alveolocytes capable of producing surfactant, and a sufficient formation of alveoli as well. This work summarizes the basics of fetal lung histology with the demonstration of histological preparations of the lungs at different stages of intrauterine development.

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来源期刊
Arkhiv patologii
Arkhiv patologii Medicine-Pathology and Forensic Medicine
CiteScore
0.90
自引率
0.00%
发文量
55
期刊介绍: The journal deals with original investigations on pressing problems of general pathology and pathologic anatomy, newest research methods, major issues of the theory and practice as well as problems of experimental, comparative and geographic pathology. To inform readers latest achievements of Russian and foreign medicine the journal regularly publishes editorial and survey articles, reviews of the most interesting Russian and foreign books on pathologic anatomy, new data on modern methods of investigation (histochemistry, electron microscopy, autoradiography, etc.), about problems of teaching, articles on the history of pathological anatomy development both in Russia and abroad.
期刊最新文献
[Clinical and laboratory parameters and pathomorphological features of the lungs in patients who have had COVID-19 viral pneumonia]. [Comparative analysis of the development mechanisms of cryoglobulinemic vasculitis and Sjögren's syndrome]. [Histology of fetal lungs at different gestational age]. [IgD expression in various immunoarchitectural patterns of nodular lymphocyte predominant Hodgkin lymphoma in children]. [Lung pathology in children with a long-term novel coronavirus infection COVID-19].
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