局部血液循环障碍2010.pptVIP

Contents 循环血量的异常(充血、缺血) circulation volume 血液内出现异常物质 abnormal material 血管内成分逸出血管外 emit Fig 5-17 Hemorrhage（出血） hepato-jugular veins regurgitation sign was positive and the lower extremities was depressive edema. Lab examination : urine :protein (+), BRC 1-2/HP, hyaline cast 1-2/HP. X-ray: the heart was bilaterally enlarged And the texture of both lungs increased. Diagnosis 1:rheumatic heart disease 2: mitral stenosis and insuficiency 3: pan-heart failure Spleen infarct Lung infarct 梗死区 肠梗死 正常肠 Intestine infarct Clinical Effects 决定于梗死的器官、 梗死灶的大小和部位、 以及有无细菌感染 一、名词解释： congestion Heart failure cells Brown induration of lung Nutmeg liver Thrombosis Decompression sickness 二、问答题： 1、 慢性肝淤血时，肝切面为什么会出现槟榔状花纹？ 2、栓子是如何运行的？ 3、羊水栓塞的病理特征是什么？ 4、静脉淤血、血栓形成、栓塞及梗死之间有何联系？ Case discussion Case abstract. Female, 30-year-old, farmer. Chief complaint. Intermittent palpitation(心悸） and short breathe for 1 years; lower extrem- ities edema and oligouria for 1 month. Current medical history. Since last year, she felt palpitation and short breath after laboring, and these symptoms were relieved when relaxation. She caught a cold , and presented fever, worsen palpitation and short breath one month before. Simultaneously, Lower extremities edema, oligouria, and right-upper abdominal turgor (膨隆）began and appetite decreased, Especially she was unable to lie horizontally. She was admitted to hospital because the General medical treatment was ineffective to her. Past medical history: frequent pharyngodynia (咽痛）and arthralgia（关节痛） 10 years before was mentioned. Physical examination. She was semireclin- Ing position, chronic sickly complexion with terminal and lips cyanosis. Jugular vein dilated, and mild-moderate rales in the dorsal of both lungs Were noticed. The cardiac border was enlarged bilaterally. HR 110/min, BP: 110/70mmHg, thunder-like murmur during diastolic(舒张） pha