4水肿-2011.pptVIP

Edema The Nephrology Department The 2nd Affiliated Hospital 胡廷海 Definition Edema: 过多液体在组织间隙或体腔中积聚。 Classification： 全身(anasarco)：弥漫 局部(local edema)：（体腔积液——胸腔积液hydrothorax、腹腔积液ascites、心包积液hydropericardium） Mechanism Imbalance of exchange between intra- and extra-vascular fluid 毛细血管静水压增高 Increased capillary hydrostatic pressure 血浆胶体渗透压降低 Decreased plasma colloid osmotic pressure 毛细血管通透性增高 Increased capillary permeability 淋巴回流受阻 lymphatic obstruction 水钠潴留 Natrium and water retention Pathogenesis and Clinical Manifestation Generalized Edema Cardiac Edema Clinical manifestation 首先出现在身体下垂部位（下肢或者腰骶