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在某些心脏猝死患者,冠状微循环中有血小板集聚块,导致这类病变在心脏猝死中可能起有重要作用的设想。动物实验亦提示,近端血栓所散出的栓子,可诱发心室颤动而导致猝死。本文测定在心脏疾病,特别是心脏猝死患者,心肌内小血管中血小板和纤维素性血栓栓塞的发生率和重要性,并从形态学角度评价这种病变的分布与冠状动脉主支近端血栓形成的关系。
In some patients with sudden cardiac death, coronary microcirculation platelet agglomeration, resulting in such lesions may play an important role in the sudden cardiac death concept. Animal experiments also suggest that the proximal thrombus emitted emboli, can induce ventricular fibrillation and lead to sudden death. This article measures the incidence and the importance of platelets and fibrinous thromboembolism in patients with cardiac disease, particularly in patients with sudden cardiac death, small intramyocardial blood vessels and assessing the distribution of this lesion from the morphological point of view to the proximal thrombosis of the coronary artery Relationship.