• / 48
  • 下载费用:25 金币  

《病理学》专科课件:风湿及瓣膜病

关 键 词:
病理学风湿病 病理学专科课件 病理学风湿病ppt 瓣膜病风湿性
资源描述:
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 第五章 心血管系统疾病 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风湿病学习纲要 1.风湿病的病因及发病机制是什么? 2.风湿病累及的部位是什么?哪些部位容易受累 及? 3.风湿病的病变性质及特点是什么?风湿小体的 结局是什么? 4.为什么风湿病累及到心脏的病变最严重?(从 基本病变导致风湿性心内膜炎或称瓣膜炎、风湿 性心肌炎、风湿性心外膜炎或称心包炎三种病变 入手讨论其后果)。 5.风湿性关节炎累及的关节、表现及病变和结局 是什么? 风湿病累及心脏的各层如反复发作都 可能会导致心功能不全甚至心衰。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 各器官病变 风湿性心脏病 皮肤病变 风湿性关节炎 风湿性脑病 风湿性动脉炎 “舔过关节,咬住心脏” Ø 风湿性心脏病、高血压性心脏病、 冠心病中的心肌梗死等反复发作都可 能会导致心功能不全甚至心衰。 Ø 心力衰竭有何表现? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 概念 病变:炎症性疾病. 部位:全身结缔组织. 心脏(病变最重)、关节等. 病因及机制:与溶血性链球菌 感染有关的变态反应性疾病. 抗原抗体结合导致组织损伤。 感染链球菌后能否发生风湿病 与机体抵抗力和反应性密切相 关。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 各器官病变 风湿性心脏病 皮肤病变 风湿性关节炎 风湿性脑病 风湿性动脉炎 “舔过关节,咬住心脏” Ø 风湿性心脏病、高血压性心脏病、 冠心病中的心肌梗死等反复发作都可 能会导致心功能不全甚至心衰。 Ø 心力衰竭有何表现? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 二尖瓣狭窄学习纲要 1.二尖瓣狭窄的常见病因是什么? 2.二尖瓣狭窄的血流动力学变化是什么? 3.二尖瓣狭窄的心脏四个腔室有何改变? 什么? 4.二尖瓣狭窄导致的心脏变化对心脏功能有 何影响? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 一、病因和发病机制 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 病 因 与A 组乙型溶血性链球菌有关 证据: 与链球菌感染一致 抗菌素防治有效 抗链球菌抗体 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 非链球菌直接感染 证据: 非链球菌感染期发病 病灶中链菌(﹣) 非化脓性病灶 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 发病机制(抗原抗体交叉反应学说) 细菌胞壁 人 C蛋白 心脏瓣膜、关节 M蛋白 心肌、血管平滑肌 1.共同抗原性 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 2.自身抗体产生 心 肌 抗 心内膜 抗体 平滑肌 抗原抗体结合导致组织损伤。 感染链球菌后能否发生风湿病 与机体抵抗力和反应性密切相 关。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 概念 病变:炎症性疾病. 部位:全身结缔组织. 心脏(病变最重)、关节等. 病因及机制:与溶血性链球菌 感染有关的变态反应性疾病. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 二、病理变化 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 ※基本病变(本质是炎症) 变质渗出期 愈合期 肉芽肿期 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 变质渗出期(1m) 变质:全身结缔组织粘液 样变、纤维素样坏死. 渗出:伴充血,浆液、纤 维素渗出、炎症细胞浸润. 如相应部位病变以纤维素样坏 死为主,会有纤维化。如相应部位病变是以浆液性或 少量纤维素渗出为主的渗出性 病变,渗出成分容易吸收。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 肉芽肿期(2~3m) 回顾:什么是肉芽肿?(P87 ) 回顾:肉芽肿的结局是什么? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. n中心:坏死组织 n周围:巨噬细胞及演化的细胞 n外围:淋巴细胞及成纤维细胞 n结节周围有纤维结缔组织包绕 肉芽肿成分组成 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 Ø 肉芽肿期的典型变化是形成风 湿小体(诊断意义). 组成:纤维素样坏死; 风湿细胞; 淋巴细胞 ; 成纤维细胞及纤维. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 肉芽肿期(2~3m) 病灶组织细胞(巨噬细胞) 聚集、增生 吞噬纤维素样坏死 风湿细胞 (Aschoff cell ) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 毛虫状 枭眼状 风湿细胞的核 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 风湿小体→纤维瘢痕 愈合期(2~3m) 组成:纤维素样坏死-逐渐吸收 风湿细胞-变为成纤维细胞 淋巴细胞--逐渐减少 纤维组织纤维组织 ---逐渐渐增多 如相应部位病变以形成风湿小 体为主,会有纤维化。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 病 变 小 结 反 复 性(可反复发生) 特 异 性(不同部位病变表现不同) 并 存 性(不同病变常同时存在) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 各器官病变 风湿性心脏病 皮肤病变 风湿性关节炎 风湿性脑病 风湿性动脉炎 “舔过关节,咬住心脏” Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 第六节 心瓣膜病 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. §概念:是指心瓣膜由于先天发育异常 或后天性疾病(如风心)造成的器质 性病变,表现为狭窄和关闭不全。 §瓣膜双病变、联合瓣膜病. 概念 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 正常心瓣膜正常心瓣膜 瓣膜瓣膜光滑光滑、、菲薄菲薄,,有弹性有弹性. . Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 一、二尖瓣狭窄 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. §病因:风湿内膜炎等。 Ø 正常开放时面积约5cm2 ,狭窄 时1~2cm2,甚至0.5cm. Ø瓣膜增厚、粘连、质硬、弹性下 降。 二尖瓣狭窄 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Ø 二狭—舒张期左房注入左室血流受阻---左 房血容量增高---左房代偿性扩张肥大---失 代偿扩张; Ø 因左房淤血扩张---肺静脉回流受阻---肺静 脉淤血---肺小动脉反射性收缩---肺动脉压 升高---右心代偿肥大 ---右心室扩张; Ø 右室扩张---三尖瓣相对关闭不全---部分右 心室血回右心房---右房淤血扩张-大循环淤 血。 二尖瓣狭窄的血流动力学 思考:二尖瓣狭窄心脏四个腔 室有何变化? 三大一小:左室缩小,其余扩 大。 心脏变化导致心功能不全甚至 衰竭。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Ø 患者出现肺淤血和体循环淤血的表现 ; Ø 肺淤血:呼吸困难,紫绀,粉红泡沫 痰; Ø 体循环淤血:肝肿大,颈静脉怒张, 下肢水肿. 二尖瓣狭窄的临床表现 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 风湿性全心炎(常见) 风湿性心脏炎 风湿性心内膜炎 风湿性心肌炎 风湿性心外膜炎(心包炎) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 a b c 1.风湿性心内膜炎(最重要) a.二尖瓣 b.二尖瓣+主动脉瓣 c.主动脉瓣 部位: Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风湿病瓣膜病基本病变 瓣膜纤维素样坏死或风湿小体形成 愈合期纤维增生 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 基本病变(如坏死) 内皮损伤 闭锁缘赘生物(白色血栓) 风湿病瓣膜病继发病变 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 二尖瓣 赘生物 急性风湿性心内膜炎 白色血栓(小、白、球) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 后果及影响 瓣膜基本病变→纤维化 赘生物(白色血栓)→机化 Ø 反复发作 →瓣膜病 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 瓣膜 腱索 卷缩 增粗、 增厚、变硬 缩短→关闭不全 粘连 →狭窄 瓣膜病有何后果? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 二尖瓣狭窄 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 风湿性全心炎(常见) 风湿性心脏炎 风湿性心内膜炎 风湿性心肌炎 风湿性心外膜炎(心包炎) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 病变: 典型风湿小体 (间质小血管旁) 间质水肿 弥漫性炎细胞浸润 2.风湿性心肌炎 部位: 心肌间质 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 心功能不全 取决于病变范围、 病变特点. 后果 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 浆液性炎—心包积液 纤维素性炎—绒毛心 3.风湿性心包炎 心外膜 基本病变 心包腔 渗出为主 病变 浆液及纤维素渗出过 多有何后果? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 风 湿 病 心外膜纤维素渗出 Through this publici
展开阅读全文
  麦档网所有资源均是用户自行上传分享,仅供网友学习交流,未经上传用户书面授权,请勿作他用。
0条评论

还可以输入200字符

暂无评论,赶快抢占沙发吧。

关于本文
本文标题:《病理学》专科课件:风湿及瓣膜病
链接地址:https://www.maidoc.com/p-15674122.html
关于我们 - 网站声明 - 网站地图 - 资源地图 - 友情链接 - 网站客服 - 联系我们

[email protected] 2018-2020 maidoc.com版权所有  文库上传用户QQ群:3303921 

麦档网为“文档C2C模式”,即用户上传的文档所得金币直接给(下载)用户,本站只是中间服务平台,本站所有文档下载所得的金币归上传人(含作者)所有。
备案号:蜀ICP备17040478号-3  
川公网安备:51019002001290号 

本站提供办公文档学习资料考试资料文档下载


收起
展开