[死后早期各器官变化的组织学研究:石蜡包埋法与环氧树脂包埋法的比较]。

Y Tomita, M Nihira, Y Ohno, S Sato
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引用次数: 0

摘要

采用颈脱位法处死Wistar大鼠,分别于23℃下放置1、3、5、10、15、24小时,对早期死后时间进行形态学评估。在给定的死后时间间隔后,从肾脏、胰腺、肝脏、心脏和骨骼肌中提取组织样本,包埋在石蜡或环氧树脂中,并用光学显微镜检查。从石蜡块中获得的标本显示组织学变化与死后时间之间没有很好的相关性,因为死后变化在固定期间持续。另一方面,从环氧块中获得的标本的组织学变化的时间过程,特别是核染色质的聚集和每个器官的细胞质空泡化的发展,反映了由于戊二醛的快速固定而导致的死后时间间隔。这些组织学变化是死亡后24小时内各器官的特征。此外,半薄环氧树脂切片使高分辨率光学显微镜成为可能。因此,在估计死亡时间方面,环氧树脂包埋法优于石蜡包埋法。死亡后形态学变化特征如下:死亡后1小时,胰腺腺泡细胞细胞质空泡化,核染色质轻微结块;死亡后3小时,远端小管核染色质轻度结块,骨骼肌细胞质空泡化,心肌水肿;死亡后5小时,肝细胞近端和远端小管核染色质聚集,细胞质空泡化;死亡后10小时,近端小管水肿,核染色质凝结(凋亡),远端小管水肿,胰腺腺泡细胞萎缩;死亡后15小时,远端小管细胞溶解;死亡后24小时,肝细胞溶解,骨骼肌染色质聚集。因此,我们可以得出结论,组织学变化的时间进程是有用的估计死后时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Histological study of early postmortem changes in various organs: comparison of the paraffin embedding method and the epoxy resin embedding method].

For the purpose of morphological assessment of the early postmortem interval, Wistar rats were killed by cervical dislocation and left at 23 degrees C for 1, 3, 5, 10, 15 and 24 hours. After a given postmortem interval, tissue samples taken from kidney, pancreas, liver, heart and skeletal muscle were embedded in paraffin or epoxy resin and examined by light microscopy. Specimens obtained from the paraffin block did not show a good correlation between histological changes and postmortem interval, because the postmortem changes continued during the fixation period. On the other hand, the time course of histological changes in specimens obtained from the epoxy block, particularly the development of clumping of nuclear chromatin and cytoplasmic vacuolation in each organ, reflected the postmortem interval because of the rapid fixation by glutaraldehyde. These histological changes were characteristic of each organ up to 24 hours after death. In addition, the semithin epoxy resin section made high-resolution light microscopy possible. Therefore, the epoxy resin embedding method is superior to the paraffin embedding method for the purpose of estimation of the time of death. The morphological changes characterising time after death are as follows: at 1 hour after death, cytoplasmic vacuolization and slight clumping of nuclear chromatin in pancreatic acinar cells; at 3 hours after death, slight clumping of nuclear chromatin in distal tubules, cytoplasmic vacuolization in skeletal muscle, and edema in cardiac muscle; at 5 hours after death, clumping of nuclear chromatin in proximal tubules as well as distal tubules, and cytoplasmic vacuolization in hepatocytes; at 10 hours after death, edema in proximal tubules, condensation of nuclear chromatin (apoptosis) and edema in distal tubules, and atrophy of acinar cells in the pancreas; at 15 hours after death, cytolysis of distal tubules; at 24 hours after death, cytolysis of hepatocytes and clumping of chromatin in skeletal muscle. Thus we can conclude that the time course of histological changes is useful for the estimation of postmortem interval.

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