诊断早期心肌缺血三种组织学染色方法的比较  

A compare of three histological stain method for the diagnosis in early myocardial ischemia

作　　者：刘英坤[1] 钟志玖[2] 班翔[2] 毕建忠[2] 朱骥伟[3] 傅志军[3] 陈弄潮[1] 高洪霞[1] 

机构地区：[1]黑龙江省公安厅技术处法医科,黑龙江哈尔滨150008 [2]哈尔滨医科大学病理学教研室 [3]法医学教研室,黑龙江哈尔滨150086

出　　处：《哈尔滨医科大学学报》2002年第3期238-239,F003,共3页Journal of Harbin Medical University

摘　　要：目的　探讨检验早期心肌缺血的最佳组织学染色方法。方法　对 4 5例经尸体解剖病理诊断为冠心病的心肌组织分别进行HE染色 ,HBFP染色 ,Heidenhain染色 ,光镜下观察。结果　Heidenhain染色方法可以准确检验发病过程在 0 .5h内的缺血心肌纤维。结论　Heidenhain染色方法可使早期缺血的心肌纤维出现明显的反应 ,效果优于HE染色方法和HBFP染色方法 ,特异性强 ,操作简便易行 ,可以将其作为诊断早期心肌缺血的一个首选染色方法加以应用。Objective To investigate the best histological stain method to detect the early myocardial ischemia.Methods Forty five cases of myocardial tissue which were diagnosed as coronary heart disease by autopsy and pathological detection were studied by HE stain, Heidenhain stain and HBFP stain separately and observed by light microscopy. Results The ischemia that the cause of disease was within 0.5h could be detected by Heidenhain stain accurately.Conclusion Early myocardial ischemia can be dyed by Heidenhain stain obviously; Compare with HE stain and HBFP stain, Heidenhain stain is more specific and easier to operate. It should be taken as the first method in the diagnosis of early myocardial ischemia.

关 键 词：早期心肌缺血 组织学染色 诊断 冠心病 HE染色 HBFD染色 Heidenhain染色 

分 类 号：R541.404[医药卫生—心血管疾病]