Carl Weigert在1880年首次将心肌梗死定义为由于动脉粥样硬化性冠状动脉阻塞引起的心肌凝固性坏死,这一定义被该领域随后的次要出版物所掩盖。

IF 1.2 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Romanian Journal of Morphology and Embryology Pub Date : 2023-01-01 DOI:10.47162/RJME.64.1.12
Andrzej Wincewicz, Piotr Woltanowski
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引用次数: 0

摘要

1880年,德国犹太病理学教授卡尔·魏格特(Carl Weigert, 1845-1904)首先将心肌梗死定义为由于冠状动脉粥样硬化闭塞而引起的心肌凝固性坏死(“凝固性坏死”),这至少部分归功于他在血管染色方法上的勤奋。组织化学技术使他的名字以Weigert的苏木素或Weigert和Van Gieson的弹性染色而命名,仍然在常规实践中用于可视化,例如血管框架。然而,他的发现在最近几十年被更频繁地引用所掩盖,后来出版了一本长达214页的书,出版于1896年,书名为《心肌梗死,纤维斑块,心脏病变》,ren·玛丽在书中重复了卡尔·魏格特的话,即死亡的心肌细胞失去了细胞核。魏格特于1880年在他的论文《Über die pathologischen Gerinnungsvorgänge》中引入了“死梗塞”一词。根据Weigert的说法,闭塞是由冠状动脉粥样硬化改变的白色血栓(“weissen血栓”)引起的。他以如下方式给出了心肌梗死的宏观描述:“如果血液供应在心肌的个别部分被非常粗略地(德语:br sk)完全切断,就会形成类似凝固纤维蛋白的黄色干块。”“显微镜下检查,通常没有发现任何纤维性物质渗出,但通常是一个看似正常的组织(有时你甚至可以看到肌肉纤维的交叉条纹):但所有的肌肉纤维(……)都是无核的”。矛盾的是,冠状动脉血栓也是卡尔·魏格特的死因之一。
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Carl Weigert's pioneer definition of heart infarction as myocardial, coagulative necrosis due to obstruction of atherosclerotic coronary arteries in 1880, overshadowed by subsequent, secondary publications in the field.

In 1880, a German Jewish Professor of Pathology, Carl Weigert (1845-1904) first defined heart infarction as myocardial, coagulative necrosis ("Coagulationsnekrose") due to obliteration of atherosclerotic coronary arteries thanks, at least, partially to his great diligence in vascular staining methods. Histochemical techniques made his name eponymic as Weigert's Hematoxylin or Weigert's and Van Gieson's elastic stains are still used in routine practice to visualize, e.g., the framework of vessels. However, his discovery has been overshadowed by far more frequently cited in recent decades, subsequent but secondary, 214-page-long book dated on 1896 and titled "L'infarctus du myocarde et ses conséquences - ruptures, plaques fibreuses, anévrismes du coeur", in which René Marie repeated Carl Weigert's words that dead cardiomyocytes lost their cellular nuclei. Weigert introduced the term "die Infarcte des Herzmuskels", in 1880, in his paper titled "Über die pathologischen Gerinnungsvorgänge", in Virchows Archiv. According to Weigert, occlusions were caused by white thrombi ("weissen Thromben") on the ground of atheromatous changes of the coronary arteries. In following manner, he gave macroscopic description of heart infarction: "If a blood supply is very roughly (German: brüsk), completely cut off in individual parts of the heart muscle, yellowish dry masses are formed that resemble coagulated fibrin". "If examined microscopically, one usually does not find any fibrinous material exudate, but often a delusively normal tissue (sometimes you can even see cross striation of the muscle fibers): but all muscle fibers (...) are anucleate". Paradoxically, coronary thrombosis was also a cause of Carl Weigert's death.

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来源期刊
CiteScore
1.70
自引率
20.00%
发文量
221
审稿时长
3-8 weeks
期刊介绍: Romanian Journal of Morphology and Embryology (Rom J Morphol Embryol) publishes studies on all aspects of normal morphology and human comparative and experimental pathology. The Journal accepts only researches that utilize modern investigation methods (studies of anatomy, pathology, cytopathology, immunohistochemistry, histochemistry, immunology, morphometry, molecular and cellular biology, electronic microscopy, etc.).
期刊最新文献
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