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实验性卡氏肺孢子虫肺炎的病理学研究 被引量:13

Experimental study on pathology of pneeumocystis carinii pneumonia (PCP)
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摘要 Wistar大鼠皮下注射醋酸考的松诱发卡氏肺孢子虫肺炎,自第6~12周,每周解剖病鼠2只观察,全部给药鼠均发病。肺部病变表现为:(1)肺印片查见卡氏肺孢子虫包囊和滋养体。(2)组织病理学改变:第6~8周HE染色切片呈间质性肺炎伴中度淋巴细胞浸润,肺泡内缺乏泡沫样渗出物,第9~12周肺泡内出现泡沫样渗出物,PAS染色该渗出物呈阳性反应,GMS染色查见染成黑色的包囊。(3)停用醋酸考的松后4~6周,肺部炎症明显好转,提示大鼠卡氏肺孢子虫肺炎有自愈可能。电镜显示包囊、滋养体及受损肺泡上皮细胞的超微结构。 In order to induce PCP,Wistar rats were injected subcuteneously with cortisone acetate twice a week for 12 weeks. From the 6th to 1 2th week,two rats were necropsied weekly. A development of PCP was found in experimental rats,Pathological changes showed:(1) the PC cysts and trophozoites were identified in impression smears,(2)histopathologic changes in HE staining sections were: from the 6th to 8th week,interstitial pneumonitis with moderate infiltration of lymphocytes and the absence of foamy intra-alveolar exudate; from the 9th to 12th week, the identification of foamy intra-alveolar exudate.With PAS staining, the exudate showed positive reaction. Black cysts were found in GMS staining sections. (3) After 4~6weeks of stopping injection with cortisone acetate,the PCP mended. It showed that the suffered rats may cure without any treatments. Electronic microscopy showed ultrastructure of PC cysts and trophozoites and injured alveolar epithelial cells.
作者 吴德明
出处 《临床与实验病理学杂志》 CAS CSCD 北大核心 1996年第2期148-150,共3页 Chinese Journal of Clinical and Experimental Pathology
关键词 肺炎 卡氏肺孢子肺炎 病理学 pneumocystis carinii pneumonia immunosuppression pathology
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参考文献4

  • 1陈雅棠,马良,梅芹.蒿甲醚治疗实验大鼠肺孢子虫肺炎的初步观察[J].中国寄生虫病防治杂志,1994,7(4):278-281. 被引量:26
  • 2胡力平,谭汉君.急性白血病合并卡氏肺囊虫肺炎5例[J]中国实用儿科杂志,1994(02).
  • 3唐学恒,车惠兰,孙溱安,吴德明,戴宏.实验诱发大白鼠肺孢子虫性肺炎的初步研究[J]江苏医药,1984(02).
  • 4黄美玉.肺孢子虫和肺孢子虫性肺炎[J]国外医学(寄生虫病分册),1980(06).

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