胆道感染的中医辨证分型和胆道粘膜扫描电镜观察

Typing of Bile Duct Infection According to TCM Differentiation Symptoms and Observation on the Mucosas Membrane of the Bile Duct by Scanning of Electron Microscope

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DOI：

中文关键词: 中医辨证分型胆道感染上皮细胞扫描电镜观察微绒毛胆囊粘膜粘膜上皮湿热型胆总管大体标本

英文关键词:

基金项目:

作者	单位
叶仲琨	中医研究院广安门医院

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中文摘要:

本文探讨了胆道感染的中医辨证分型和在扫描电镜观察下,胆道粘膜上皮细胞的形态学改变。胆道感染在中医分为三型:郁滞型其胆囊粘膜上皮细胞既有破坏又有修复;湿热型以上皮细胞高度水肿、渗出和破坏为主,增生为辅;毒热型可见到胆总管上皮细胞自溶、微绒毛破坏,此型病变错综复杂,涉及到重要脏器,有待于进一步深入观察。胆总管有微绒毛,可推断它不仅是输送胆汁的通道并具有吸收、分泌和排泄的功能。

英文摘要:

The typing of bile duct infection was studied according to TCM differentiation symptoms and the mueosas membrane of the bile duct by scanning of electron microscope was observed,with a view to establishing morphological changes in the epithelial cells of the mucosas membrane of the bile duct.The infection of the bile duct was recognised as 3 types:(1)Depressive stagnation type:it was observed that the epithelial cells of gallbladder revealed not only destruction,but also regeneration.(2)Damping heat type:mainly manifested as heavy edema, exsudation,and destruction,with proliferation as secondary.(3)Toxic febrile type:acute resolution of the epithelial cells of the common bile duct and destruction of mierovilli were found;the pathological change of this type was very complex,which was related to chief organs and needed further observation.The observation of the microvilli of the common bile duct suggests that the common bile duct not only is the transportable passage of the bile,but also performs the functions of absorption,secretion and excretion.

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