[Regressive changes in the placenta in early pregnancy in women with primary arterial hypertension].

W Lotocki, E Król, M Drozdzewicz
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Abstract

Morphological methods, in particular histochemical technique of secondary fluorescence according to Bertalanffy were used for the assessment of regressive changes of placenta. In women with primary arterial hypertension during early pregnancy fibrinoid masses in decidua, chorion, anchoring willi, villous plate, basal plate, villous trunks and terminal villi appear. These changes are followed from one side, by an atrophy of the blood vessels and connective tissue cells, and from the other, there increases the number of decidua giant cells, as well as of syncytium and cytotrophoblast. The areas of impaired blood supply contain giant cells and intervening foam cells. These cells according to the authors can be the forms of regressive changes exhibiting relative biological activity influencing trophic status of the placenta. Possible importance of the fibrinoid masses for the immunology of pregnancy which is developing under maternal morbid conditions has been discussed.

[原发性高血压妇女妊娠早期胎盘的退行性变化]。
形态学方法,特别是Bertalanffy法的二次荧光组织化学技术用于评估胎盘退行性变化。妊娠早期原发性动脉高血压的妇女蜕膜中出现纤维蛋白样肿块,绒毛膜、锚定绒毛、绒毛板、基板、绒毛干和末端绒毛。这些变化从一侧开始,血管和结缔组织细胞萎缩,从另一侧开始,蜕膜巨细胞、合胞体和细胞滋养细胞数量增加。血液供应受损的区域包含巨细胞和中间泡沫细胞。根据作者的说法,这些细胞可以是退行性变化的形式,表现出影响胎盘营养状态的相对生物活性。纤维蛋白团块在母体疾病条件下发展的妊娠免疫学中可能的重要性已被讨论。
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