【摘要】 <正> 有关动脉粥样硬化的尸检资料分析国内外多有报导,但因受国家、地区、条件等因素的影响,其结果常有一定差别。为了探讨我国北方动脉粥样硬化的发病情况及其形态学发生规律,我们对本教研室尸检中372例主动脉粥样硬化和162例冠状动脉粥样硬化进行了肉眼形态学观察,在此一并分析报导。更多还原

【Abstract】 In order to understand the conditions about the pathogenesis and development of atherosclerosis in North China, the pathology of 372 cases of aortic and 162 cases of coronary atherosclerosis was observed in the year 1949-1979. The main results were as follows:1. The percentage of aortic atherosclerosis in men above 20 years old is 51.1%. We haven’t found any corresponding statistics in the literatures of our country.2. In 162 cases of coronary atherosclerosis the lesions of fourth degree are 10.5%. It is higher than that of the other provinces in our country reported.3. In this study, the characteristics of coronary atherosclerosis are summarized as follows:(1) In most cases (93.8%), the multi-branches of coronary arteries are simultaneously involved.(2) In most cases the lesions are multi-focal.(3) Recent obstructive thrombosis is rare.(4) In the advanced coronary atherosclerosis the mural thrombosis is not uncommon. It may be considered that the organization of thrombosis plays a role in the pathogenesis of coronary atherosclerosis.4. Among the 728 cases autopsied hypertension is the most common complication of the disease. The next is diabetes mellitus and chronic nephritis, whereas in the wasting diseases such as malignant tumors, tuberculosis and liver cirrhosis the percentage is low.5. The standard of gradation of coronary atherosclerosis is discussed and some supplementary suggestions are proposed.更多还原