毒理性
病例报告/ 对9名女性患者的肺动脉肌肉病变进行了检查,这些患者在服用了一种厌食性药物,富马酸氨茴香后9至17年间死于肺动脉高压。病变通过多种方法进行了检查(光学显微镜,病变计数,形态测量)。病变计数显示纤维化和扩张病变占主导地位,但也存在活动性病变(内膜增生,网状病变)。形态测量显示,与对照动脉或之前系列的动脉相比,中膜的 平均厚度增加,平均血管体积减少。存在硬化性病变和血管体积的减少可能解释了肺动脉高压的持续性,新鲜病变有助于加重病情。似乎功能和解剖学改变由于药物的作用已经变得自我延续,并可能在服用减肥药多年后最终导致这些患者的致命结果。/富马酸氨茴香/
/CASE REPORTS/ The lesions of pulmonary muscular arteries of 9 female patients who died of pulmonary hypertensive disease between 9 and 17 years after intake of an anorexigenic drug, aminorex fumarate, have been examined by various methods (light microscopy, numeration of lesions, morphometry). The numeration of lesions showed the predominance of fibrotic and dilatation lesions, but also the presence of active lesions (intimal hyperplasia, plexiform lesions). Morphometry revealed an increase in mean thickness of the media, compared to that of the arteries of controls or those of a previous series, and a reduction in mean vascular volume. The existence of sclerotic lesions and reduction of vascular volume may explain the persistence of pulmonary hypertension, which fresh lesions helped to aggravate. It seems likely that functional and morphologic modifications due to the action of the drug had become self-perpetuating and may finally have induced the fatal outcome in these patients many years after intake of the slimming pill. /Aminorex fumarate/
来源:Hazardous Substances Data Bank (HSDB)