Microcirculatory disorders in the connective tissue structures of certain organs in traumatic shock with acute hemorrhage]

The present work is a fragment of the author's complex study of replantation of an extremity in experiment. Experiments on reproduction of the model of traumatic shock with acute loss of blood under conditions of muscle relaxation proposed by Yu. V. Kiprenski were performed in 15 dogs and 10 cats. It was established that in animals dead as a result of shock there appeared severe disorders of microcirculation in tissues and organs. They were characterized by a pronounced spasm of the vessels of the arteriolar link and dilatation of the venular and lymph collectors of the microcirculation bed. Simultaneously a great number of arterio-venular anastomoses were opened through which the arterial blood was shunted partly to avoid constricted capillaries. In the vessels of the venular link of the microcirculatory bed there appeared aggregations of formed elements of blood and microemboles. In absence of specific complex therapy, as it was in our experiments, the animals die of shock within the period from 17 min to 5 hour 20 min.     

The microcirculatory bed of the human heart

Using a complex approach in studying microcirculatory bed of the human heart, possibilities of scanning electron microscopy of corrosive preparations, those of silver nitrate impregnation after V. V. Kuprianov are demonstrated. The silver nitrate impregnation makes it possible to study the wall structure of the microcirculatory pathways, to analyse arrangement of nuclei in the endothelial and muscle cells of the microcirculatory links, to reveal together with the vessels the surrounding tissues. Scanograms of the corrosive preparations of the arterioles demonstrate "circulatory strips", that are absent in the venular part. The relief of the luminal casts of the microcirculatory bed vessels in the human heart is presented as impresses of nuclei of the endothelial and smooth muscle cells. Peculiarities in form and distribution of these nuclei in various links of the microbed are demonstrated.     

Model of a hemolymphomicrocirculatory module

An attempt is made to unify the terminology used for denotation the links of the lymphomicrocirculatory bed by means of analogy with the links of the hemomicrocirculation basing on the summarized literature data and on the results of the authors' investigations. An original model of the hemolymphomicrocirculatory module is presented reflecting interrelations of the blood and lymphatic system at the level of the microcirculatory bed. In order to confirm "capacity to work" in the model suggested, an explanation of the mechanism on retrograde and contrary blood stream and on development of local stases is given by means of schematic representation and demonstration of original microphotos.     

Hemo- and lymphomicrocirculatory bed of the broad ligament of the uterus in the presence of collateral circulation

Structural adaptation of the vascular bed in the broad ligament of the dog uterus has been studied at various time of the experimental phlebohypertension. Restitution of the circulation after the posterior vena cava occulsion occurs phasically. The venous collateralies are not formed at one time and it is connected with the venous pressure level in the inferiocaval system and with some changes in the construction of the microcirculatory bed. Basing on the morphometry data, a general equation has been derived which reflects dynamics of the microangiological parameters and demonstrates unidirectionness of the adaptive reactions in the vascular bed at the disturbed venous circulation. Using principles of the system-structural analysis and the mathematical graph theory, we consider the microcirculatory system of the broad ligament of the uterus as a graph-system and study the reorganization of the microcirculatory network at a venous congestion. Realization of the compensatory possibilities is reached in the microcirculatory bed by a changed relationships in the number of the intervascular connections. The latter are estimated according to the graph-schemes of the microvascular bed. Morphokinetics of the connections between the vessels is characterized by widening or narrowing the borders of the "adaptive norm" and by changing the microangioarchitectonics. At the same time, there is noted formation of specialized microhemoangioconstructions. Morphofunctional state of the lymphatic system is connected with reorganization of the angioarchitectonics. This is certain manifestation of the law of the lymphatic and blood beds "synergism". Thus, the structural changes of the vascular bed are aimed to support a certain hemodynamic level.     

Patterns in the development of the ultrastructure of elements of the microcirculatory system in the early stages of human embryogenesis

By means of transmissive electron microscopy methods, general regularities in development of the microcirculatory system have been studied at early stages of the human prenatal ontogenesis in functionally different organs. Ultrastructure of two cell types has been described in the mesenchyme of human embryos. Formation mechanisms of the primary blood vessels belonging to the protocapillary type are revealed. Structural peculiarities of the primary protocapillary network differentiating into various links of the secondary organospecific hemomicrocirculatory bed are distinguished. Certain stageness in development of the microcirculatory system is stated, its blood circulatory compartment including. Two stages are determined in development of the microcirculatory system: prevascular and vascular microcirculation. The latter includes the precirculatory and circulatory phases.     

Hematolymphatic transport in skin, subcutaneous tissue and superficial lamina of the fascia of the lower leg in varicose veins]

The lymphatic bed of the skin and subcutaneous tissues of the lower leg from 20 operated patients was studied by light and electron microscopy and by phlebographic methods. Three stages of development of the disease were examined: without complicated form of varicose veins, complicated form, and postthrombophlebitic syndrome. Morphological features of the state of the lymphatic bed of the skin, subcutaneous connective tissue and fascia of the lower leg in the initial stage of disease show the fine structure changes of lymphatic vessels and capillary walls interpreted as a compensation phenomenon. It seems that the structure alterations of endotheliocytes of lymphatic capillaries and the connective tissue surrounding them found in this study in the complicated form of the disease and the postthrombophlebitic syndrome are the basis of the mechanism of transport-resorption insufficiency of the lymph vessels' terminal flow paths.     

Development of the microcirculatory bed of the human tongue in the prenatal period

Morphofunctional regularities of formation and development of the blood microcirculatory bed in the human tongue have been studied in the prenatal period of morphogenesis. 119 human embryos and fetuses at the age of 5 weeks--9 months have been investigated. A complex of methods have been used: common histological (hematoxylin--eosin, after van Gieson and Mallory), injection of the lingual vessels with 20% suspension of Indian ink--gelatin, transmissive electron microscopy. General regularities of organogenesis, stages of the blood microcirculatory bed development and peculiarities of the process on formation of the primary protocapillary lingual blood bed are revealed. Regularities in structure of the terminal vascular constructions are studied for each structural element of the organ--mucosal membrane, muscles, glands, lingual tonsil. For these elements at the ultrastructural level certain features of the organic specificity in the structure of the blood microcirculatory bed links are determined.     

The blood microcirculatory bed of the tunica muscularis of the human esophagus in postnatal ontogeny]

The analysis of morphological and morphometrical data of the muscular membrane and its blood microcirculatory bed has demonstrated that their development during the postnatal ontogenesis advances unevenly. An intensified growth and development of the muscular membrane morphological structures, including its blood microcirculatory bed occurs from 3 up to 30 years of life. Their maximal growth is noted from 12 up to 30 years of age. The stages of intensified development of the muscular membrane and its blood microcirculatory bed change into stages of retarded growth, where processes of involutive character preponderate. This is especially noticeable from 60 and more years of age. The stages noticed in the muscular membrane development and its blood microcirculatory bed are characterized both by general and topographical morphofunctional peculiarities specific for every stage of organogenesis.     

Microcirculatory changes in the tissues surrounding a gunshot wound

An examination was carried out of microcirculation disorders as the main link of the pathogenetic process in the tissues surrounding a gunshot wound. Microcirculatory disorders were assessed in rabbits (924) with the help of radionuclide method (tissue radiometry and scannography) and the method of vital contact microscopy in gunshot wounds of posterior extremity soft tissues. After the injury the formation of four zones of tissue damage was revealed, with different character of microcirculatory changes in wound process dynamics. The obtained data may serve as the basis for working out zonal disorder classification and local treatment of gunshot wounds.     

Effect of helium-neon laser radiation on restoration of the structure of the microcirculatory bed and neurocytes of the small intestine following experimental ischemia

Influence of helium-neon laser lg-75 rays on the microcirculatory bed and neurocytes of the small intestine after its experimental ischemia has been studied. When a normal small intestine is radiated, dilatation of the luminal diameter is observed in all links of the microcirculatory bed (MCB) and also hypertrophy of neurocytes, when phenomena of distrophic processes are absent. In 30 days after 3-hours' ischemia of the intestinal loop and its successive radiation, spasm of arterial and dilatation of the venous link of MCB is registered; they normalize by the 45th day. In the control, after ischemia (without radiation) in 45 days venous plethora of the vessels in the intermuscular plexus of the intestinal wall is kept. In the nervous elements of the muscular-intestinal plexus at early stages of the experiment against the background of ischemia reactive and distrophic changes appear. By the 30th day after radiation, the volume of neurocytic bodies increases, processes grow out, nuclear-cytoplasmic index increases. Nonspecific character of the laser rays is supposed; their effect is realised via regional microvascular and nervous formations.     

Microcirculatory bed of the pericardium under hypokinetic conditions]

The pericardium microcirculatory bed of rabbits was studied under conditions of hypokinesia of different duration. The state of hypokinesia was obtained by keeping the animals in small cages. The used methods were silver nitrate impregnation after Kuprijanov and injection of the vessels with the Parisian blue. Hypokinesia caused certain anatomical changes in all links of the microcirculatory bed. Disorders in the capillary-venular link were the first to appear. The alterations found should be considered as adaptational to effects of the extreme factor--hypokinesia.     

Morphologic changes in the microcirculatory bed at stages of prolonged experimental fasting in animals

In 40 white male rats with body mass 180-200 g, by means of silver nitrate impregnation, morphological changes have been studied in the blood microcirculatory bed of the small intestine mesentery, spinal trapezoid muscle and eye ball conjunctiva at various stages of a prolonged fasting. With an increasing time of the experiment, a gradual undirected character of the changes in the microvessels is noted. After 3 days of fasting the changes in diameters of the microvessels, comparing to the control ones, have not any significant values in all the organs studied. After 6 days of fasting significant changes in diameters in all the links of the microcirculatory bed of the eye ball conjunctiva and in that of the spinal trapezoid muscle are observed. The microvascular changes are mostly pronounced on the 9th day of fasting. The maximal decrease of the microvessel diameters is noted in the eye ball conjunctiva, and the minimal--in the small intestine mesentery. The changes in the spinal trapezoid muscle are of intermediate character. The highest points of the structural lability gradient fall on the capillary and postcapillary-venular links of the blood microcirculatory bed.     

Condition of the internal arterial and microcirculatory bed of the neck muscles of the dog after simultaneous ligation of the common carotid and vertebral arteries

In 21 mongrel dogs changes in the intraorganic arterial and microcirculatory bed of the cervical muscles have been studied after a simultaneous ligation of the common carotid and vertebral arteries. The most pronounced changes of rearrangement are observed during early periods after the operation (up to two months). The form, size of the arterial loops and direction of the blood stream change in them. On the base of the arterio-arterial anastomoses collateralies are formed, their degree of development is progressing with the increase of the postoperative time. The arteriolo-arteriolar anastomoses in small loops convert into microvascular collateralies that are of importance only during early postoperative stages. The new conditions of hemodynamics at the arteriolar level result in a dependent rearrangement in other links of the microcirculatory bed, where a number of compensatory-adaptive mechanisms are revealed. After the magistral by-pass ways are completely formed, the changes observed disappear and the microcirculatory network acquires the features specific for intact animals.     

Structural bases for the invasion of the causative agents of experimental Pseudomonas aeruginosa sepsis into the bloodstream from the primary septic focus

The soft tissues around the implant with a suspension of P. aeruginosa were studied by light and electron microscopy. Severe damages to structures of the histohematic barrier, phagocytes were revealed as was the bacterial invasion into thrombosed vessels of the microcirculatory bed. The mechanism of the micrometabolism as playing the key role in the bacterial penetration from the primary septic focus into the common bloodstream is discussed.     

Function of the microcirculatory system during the long-term regression of the early stages of atherogenesis

Lipid metabolism, intestinal mesentery microcirculatory bed (MCB) and erythrocyte (E) morphology in arterial and venous blood were studied in rabbits with experimental atherosclerosis (the model of N. N. Anichkov) and its spontaneous regression. The interrelation was determined between lipid metabolism (LM), MCB structural and functional disorders and anomalous E form appearance, and to a lesser extent the atheromatosis of the aorta. Microcirculatory (MC) disorders disappeared 12 months later in the regression of the early stages of atherogenesis (after 2 months of diet). The generalized character of MC disorders in LM suggests the existence of a trend towards MC reconstitution in prolonged regression in different organs and tissues. Thus, LM correction at the early stages of the pathological process can be accompanied by the disappearance of MC disorders, which seems important for the prevention of atherosclerosis.     

Formation of the microcirculatory bed of the muscle coat of the wall of the sigmoid colon during human fetal development]

During intrauterine life microcirculatory bed of the muscular coat is forming and developing in accordance with its differentiation, growth and functional changes at various steps of its ontogenesis. This step-like differentiation in the parts composing the microcirculatory bed and the whole microcirculatory network of longitudinal and circulatory layers of the muscular coat is genetically connected with differentiation taking place in the wall of the sigmoid colon during the developmental period studied and, in the end, reflects morphological maturation of the sigmoid colon at different stages of its individual ontogenesis.     

Ultrastructural characteristics of the microcirculatory bed of the human adrenal cortex in prenatal ontogenesis

By means of transmissive electron microscopy the adrenals have been studied in 25 human embryos and fetuses at the age of 6-36 weeks. Certain stages have been revealed in formation of the adrenal cortex microcirculatory bed. In 6-7-week-old embryos (period of diffuse protocapillary bed) endothelial structure and mesenchymal cells, surrounding the adrenal anlage, resemble one another. A distinguished feature of the endothelium is regularly revealed desmosomes and large vacuoles, often found in cytoplasm of endotheliocytes. In 8-12-week-old fetuses (period when the organospecific microcirculatory bed is forming) sinusoid capillaries differentiate in the internal zone of the adrenal cortex; in endothelium fenestrae, "hatches", "locks" are revealed, the capillary basal membrane is formed. During subsequent time of the intrauterine development perfection of the microcirculatory pathways in the adrenals takes place, the arteriolar link of the subcapsular layer including. By the time of birth morphofunctional maturity of the microcirculatory bed in the adrenal cortex is noted.     

Microarchitectonics and microtopography of blood vessels of the human rectum

By means of injecting the vessels with 0.2% solution of silver nitrate after Ranvier, solutions of Indian ink and gas soot, impregnation after V.V. Kuprianov, the blood vessels of the rectal wall have been studied. The material has been obtained from 50 corpses of persons of various age, not suffering from any diseases of the gastrointestinal tract. The structural organization of the microcirculatory tract has been studied layer-by-layer, at all levels by means of atraumatic lamination of the tunics. Terminal links of the microcirculatory bed form zonal functional complexes of microvessels specific for each part of the rectum. They regularly repeat in a certain tunic and owing to this the whole organization of the microcirculatory bed acquires features of a definite polymeric structure which consists of homonomic complexes of microvessels. Their regularity, as regards their topography and quantity, definitely differs in each tunic and layer of the rectal wall. Precapillary sphincters and arteriolovenular anastomoses are revealed; they perform an active regulation of blood circulation in the organ. Diameters of the microvessels and density of the microcirculatory network have some slight fluctuations (differences) in functionally poorly active tunics of the rectal wall--the serous and submucous, especially in its rectosigmoid part. Differences of these parameters are especially expressed within the limits of the rectal ampule and its mucous and muscular tunics.     

Structural changes and hemodynamic relations in the microcirculatory bed of the mesentery of the white rat during the period of sexual maturation

Structural changes and hemodynamic relations have been studied in the microcirculatory bed of the white rat small intestine mesentery during sex maturation (from the 3d up to the 10th week of the postnatal development). All calculations are performed regarding the mesenteric segment limited with two intestinal arteries, which is considered as an elementary microvascular module. Complication of the microcirculatory bed construction takes place at the expense of increasing number (nearly five-fold) of microvessels in the segment and increase of the capillary network density. The hemodynamic factor plays a certain role for stimulating the process of the capillary growth. The definitive structure of the mesenteric microcirculatory bed is completed by the 7th week. The main rearrangement of the microcirculatory system during the developmental process from a simple arterio-venular loop up to a complex microcirculatory bed with a branching capillary network is performed within the limits of the mesenteric segment.     

Effect of alcoholic intoxication on the lymphatic bed of the heart]

Cardiac lymphatic bed was studied in 120 male corpses at the age of 17--55 years, normal and of those died from alcohol intoxication and from cardiac ischemia. The methods of intratissue injection of coloured masses, impregnation after V. V. Kuprianov, histological and histochemical investigations were applied. Data in figures were obtained by means of a grid for cyto-, histo- and stereometric investigations and by a scanning integrant microspectrophotometer sim-2. Statistical data were obtained by a computer "Mir". It was demonstrated that the cardiac lymphatic system responds in a definite way to alcohol intoxication. Four forms of structural state in the lymphatic bed elements were revealed, specific density of its different components was calculated. A certain connection was noted to occur between morphological changes under the effect of toxic doses of alcohol; there was also a reaction of compensatory-adaptive elements of lymphodynamics. A number of pathological changes in cardiac tissues resulting in heart insufficiency were presented. Peculiarities in poisoning phases were demonstrated morphologically.