病理 第九章(国外英文资料).docVIP

病理 第九章(国外英文资料) Chapter 8 diseases of the digestive system Section 1 chronic gastritis Chronic superficial gastritis: Lesion: the mucous membrane of blood, edema, deep red, with gray or grayish secretions on the surface, with points of hemorrhage or erosion; Microscopically: inflammatory lesions are in the superficial mucosa, where the main is lymphocyte and plasma cell infiltration, mucosal shallow edema, dot hemorrhage and epithelial necrosis fall off. Chronic atrophic gastritis: (1) causes and types: Type A: the disease is closely related to immune factors, and the lesion is in the stomach. Type B: the disease is unrelated to autoimmunity and may be related to smoking, alcohol abuse, or the abuse of salicylic acid, such as APC. The lesions are in the sinus department. (2) pathological changes: Naked eye: the stomach mucosa is thin and smooth, the fold is shallow, some almost disappear. The mucosal surface is fine grained. Gastroscopy: (1) the orange color of normal gastric mucous membrane disappears, replaced by gray; (2) the atrophic gastric mucosa is significantly thinner, with a distinct line between the normal gastric mucosa and the surrounding area. (3) the submucosa of the mucosa is clearly visible. In the mirror: (1) atrophy of gland epithelium, decreased glands, and cystic dilation, often appearing in metaplasia (pseudo pylori and intestinal metaplasia). (2) there are different levels of lymphocytes and plasma cells in the lining of the mucosa. Hypertrophic gastritis: the disease is characterized by the thickening of the mucous mucosa, and the fold deepens as the brain returns. In the mirror, the gland hyperplasia and the gland elongation. The intrinsic layer of the lining of the mucosa is not significant. 4, wart gastritis: the mucous membrane of the stomach mucosa of the disease place occurrence a few small and unequal erosion, its surrounding mucosa is uplifted, so form the focal point of the center sag, shaped like pox rash. The focal lesion was found