Fatal XXXX after shock.

@entity295 @entity6283 @entity39 @entity879 @entity1457 @entity409 @entity5642 @entity519 @entity99
A clinicopathological study was undertaken in 15 cases of massive @entity99 after shock. The GOT and @entity6283 level exceeded 1000 units in 10 cases. The 15 cases consisted of 3 diagnosed as @entity879 clinically and 12 diagnosed as @entity5642 ( @entity5642 ) or multiple systemic organ failure (MOF) from the unremarkableness of @entity409 . It was noteworthy that @entity295 and surgery were closely associated with these lesions. The weight of the liver at autopsy ranged from 800 to 2,700 g. @entity409 was macroscopically characterized by clear demarcation of the @entity39 areas sharply separated from the surrounding @entity409 , showing the appearance of so-called "map-like @entity39 ". Microscopically, the lesions in these subjects showed mainly the pattern of centrilobular @entity39 . As observed in the @entity1457 case (case 12), the shock which provoked in different phases of time seemed to have repeated its attack. These liver necroses were considered to result from severe systemic circulatory disturbance or intrahepatic circulatory disturbance. The possibility is indicated that the generalized or univisceral Shwartzman reaction, and repeated and combined severe shock participated in the pathogenesis. Fibrin thrombi aggrevate tissue perfusion and accelerate @entity519 . Heparin therapy seemed effective in these cases if administered at an appropriate time.
