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作者对79例肝阿米巴病的尸解材料作了回顾性分析,以探讨致命性肝阿米巴病的病理和发病机理。结果发现62%病例有肠腔溃疡,其最常见的病变部位是盲肠和升结肠。15例有盲肠部位穿孔,最严重的损害是肠段坏疽。肠系膜和肝门部淋巴结未找到阿米巴和由阿米巴引起的任何病理改变。典型的肝脓肿内容物为混有脱落肝组织的奶黄色坏死物,仅4例呈鳀鱼酱色脓液。脓腔壁粗糙,毗连的肝实质呈多样性改变。有10例的脓腔壁已纤维化,提示已慢性化和有继发感染。连续切片显示单个脓肿由许多小脓肿融合而
The authors retrospectively analyzed 79 patients with hepatic amoebiasis autopsy material to explore the pathology and pathogenesis of deadly hepatic amoebiasis. The results showed that 62% of cases had intestinal ulcers, the most common lesion is the cecum and ascending colon. There were 15 cases of cecal perforation, the most serious damage is bowel gangrene. Mesenteric and hilar lymph nodes did not find any changes in amebiasis and amoeba. A typical liver abscess content is mixed with shedding of liver tissue necrosis of milk, only 4 cases were pomfret sauce color pus. Abscess wall coarse, adjacent to the liver parenchyma showed a variety of changes. Ten cases of abscess wall fibrosis, suggesting that has been chronic and secondary infection. Serial sections showed that a single abscess was fused by many small abscesses