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本文对75例慢活肝肝穿材料进行光镜检查,其中22例进行透视电镜观察。对三型慢活肝光镜下形态特点做了详细描述,提出了掌握病理诊断的要点。对气球样变肝细胞在电镜下三种不同形态特点和细胞膜的超微结构改变给予特别的注意,提出基质水肿型气球样变肝细胞和肝细胞膜的“链环状结构”可能是重型慢活肝超微结构的特点,并对其发生机制作了初步探讨。 提高慢活肝临床诊断符合率要进行综合诊断,特别要注意对临床症状较轻病人的综合诊断。
In this paper, 75 cases of slow-moving liver and liver through the material were examined by light microscopy, of which 22 cases were observed under transmission electron microscope. The morphological characteristics of the three types of chronic liver light microscopy were described in detail, and the key points for mastering pathological diagnosis were proposed. The special attention was paid to the three different morphological features and ultrastructural changes of cell membranes in balloon-like hepatocytes under electron microscopy. It was suggested that the “chain-loop structure” of hepatocytes and hepatocyte membranes in matrix edema balloon-like metastasis may be heavy and slow. The characteristics of hepatic ultrastructure and the mechanism of its occurrence were initially discussed. To improve the coincidence rate of clinical diagnosis of chronic liver disease, comprehensive diagnosis should be carried out, and special attention should be paid to the comprehensive diagnosis of patients with mild clinical symptoms.