哮喘猝死患者的心肺病理分析

被引:9
作者
程德云
易旭夫
陈文彬
机构
[1] 华西医科大学附属第一医院呼吸内科,华西医科大学附属第一医院呼吸内科,华西医科大学附属第一医院呼吸内科
关键词
哮喘; 猝死; 病理学;
D O I
暂无
中图分类号
R562.25 [];
学科分类号
1002 ; 100201 ;
摘要
目的 提高对哮喘猝死的认识 ,了解其心、肺病理学特征和死亡原因。方法 对 14例哮喘猝死患者的病理资料进行分析。结果 哮喘猝死患者无性别差异 ,年龄 30岁以下者 9例(6 4 3% ) ;病理改变的特点为支气管管壁嗜酸细胞浸润 14例 (10 0 % ) ,粘膜基底膜增厚 12例(85 7% ) ,支气管平滑肌细胞增生 11例 (78 6 % ) ,粘液腺增生、肥大 9例 (6 4 3% ) ,细支气管内粘液栓形成 8例 (5 7 1% ) ;左心室壁瘢痕形成 10例 (71 4% ) ,病变主要位于左心室侧壁和心尖部。结论 哮喘猝死患者气道存在明显的非特异性炎症反应 ,心肌受损和细支气管粘液栓形成为其主要致死原因。
引用
收藏
页码:42 / 44+71
页数:4
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