大鼠房室结区的特化心肌纤维构筑

ARCHITECTURE OF THE SPECIALIZED MYOCARDIAL FIBERS IN THE ATRIOVENTRICULAR NODE AREA OF RAT

  • 摘要: 目的:为探讨心传导系房室结区双(多)径路传导、折返等复杂电生理的形态学基础。方法:本文采用连续切片的方法观察了18例SD大鼠房室结区的特化心肌纤维构筑。结果:①大鼠房室结位置较恒定贴于中心纤维体的右侧,大小约为0.97mm×0.51mm×0.13mm,后份薄而宽,中份厚,前份窄。③房室结可分为浅、深两层.浅层包裹深层.为上下方向的特化纤维;深层由上、下两部前后走向的细胞束组成.下部较粗大并延伸为房室柬。③房室结可明确区分出四种细胞:P细胞、T细胞、浦氏细胞及普通心肌细胞.④房室结的覆盖层为心房肌与房室结之间的特化过渡区,与房室结有较多联系,部分可穿房室环联系心室肌。⑤房室结与心房肌之间有多条路径相连.有的还与心室肌直接联系。结论:房室结内部的分层、分部及其周围与心房或心室肌的联系可能与多路径传导和折返有关。

     

    Abstract: Ohjective: To study the morphological aspects corresponding to the complex electrophysiological signs of dual (multi) -pathway and reentry of the atrioventricular node (AVN) area. Methods: The architecture of the specialized myocardial fibers of the AVN area was observed under microscope with serial section in 18 rats. Results: ①The rat AVN lay in the right side of center fiber body. The posterior part appeared thin and broad, the middle thick and the anterior narrow. ②The AVN can be divided into a superficial layer and a deep layer. The superficial layer containing vertical specialized fibers circled the deep layer. The deep layer which fibers arranged from the posterior to the anterior can be subdivided into an upper part and a lower part. In the anterior part of the AVN, the lower part became gradually large and was into the AV bundle. ③The AVN composed of four types cells, P cell, T cell, Purkinje cell and normal cardiac working cell. ④The overlaying on the AVN is a transition area between atrial muscle and the AVN . There were many connecting fibers between the overlaying and the AVN. A few fibers in the overlaying connected with ventricular muscle. ⑤The AVN linked the atrial muscle in several routes. In four specimens, there were some connecting fibers between the AVN and ventricular muscle. Conclusion: In the AVN area, the superficial and deep layers, the upper and lower parts and the connections between the AVN and atrium or ventricular may be the morphological bases of dual or multi pathways conducting and reentry.

     

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