Chapter 7 Diseases of the respiratory system：7章对呼吸系统疾病.pptVIP

The septa is expanded by hyperemia, edema, and a cellular infiltrate composed of lymphocytes and plasma cells Inclusion bodies: cytomegalovirus * * Hayline membrane Expanded septum Necrosis of epithelial Inclusion bodies * Cornonavirus, a new member of the family coronviridae * In the end of 2002 to 2003, SARS came to be epidemic all over the world, especially in Asia, in China, over 5000 people suffered from this disease, more than 50% died in this disease. many people had to wear the respirator , kitten too, the murderer was the virus, coronarovirus. Fever, usually greater than 38, chills, cough ,dyspnea, difficult in breath, headache, diarrhea, Flu-like * Hyaline membrane Necrosis of epithilum Diffuse alveolar damage in varying phases of organization Multinucleated giant cells * * Under electro microscope, we can see in the plasma of the cell, replication of the virus * Avian influenza is called as bird flu Infectious disease of birds caused by strains of the influenza virus * This is a bird disease caused by infection of strains of the influenza virus, The first cases of avian influenza viruses in humans happened in 1997, Hong Kong, it killed more than 140 million birds and 60 people. The patient is an adolescent or a young adult Respiratory symptoms may be minimal or severe, Pathcy ,segmental in distribution * Interstitial pneumonia Atypical pneumonia Congested, edematous, mononuclear cells infiltration Mycoplasma pneumonia 支原体肺炎 Air space pneumonia Lobar pneumonia Lobular pneumonia Interstitial pneumonia Viral pneumonia Mycoplasma pneumonia ARDSAcute Respiratory Distress Syndrome An acute diffuse alveolar injury Terminal events in many of the patients Serious ill, the mortality rate 50% Results from ischemic, endotoxins, enzymes. Case 1 analysis History: Male, 20, after suffering from cold and drunk, got high fever, chill, rapid breathing and chest pain. After 2 days, he coughed with “rusty” sputum. T: 40℃, R: 32 times/min. Chest x-ray: show larg