消化系统疾病1胃炎胃溃疡ppt课件_1.pptVIP

消化系统疾病Ⅰ (Diseases of digestive system);消化系统digestive system;Review;Review;Review;一、胃炎（gastritis）;(一)急性胃炎(acute gastritis);腐蚀性胃炎 corrosive gastritis 强酸、强碱等腐蚀性物质引起 病变重，胃黏膜坏死、软化溶解 急性感染性（蜂窝织炎性）胃炎 acute infective (phlegmonous) gastritis 胃黏膜弥漫性化脓性炎 化脓菌感染所致; 急性胃炎镜下特点 (Microscopy: acute gastritis);（二）慢性胃炎 (Chronic gastritis);澳大利亚病理医生马歇尔和沃伦因发现导致胃炎和胃溃疡的幽门螺杆菌获得2005年诺贝尔生理学或医学奖 ; 1.慢性浅表性胃炎 （chronic superficial gastritis）;慢性浅表性胃炎镜下特点(chronic superficial gastritis);小结:慢性浅表性胃炎 (Microscopy: chronic superficial gastritis);2 慢性萎缩性胃炎特点（chronic atrophic gastritis）;病因分型(Etiological Type); 慢性萎缩性胃炎病变 (Chronic atrophic gastritis);慢性萎缩性胃炎病变(Chronic atrophic gastritis);慢性萎缩性胃炎病变 (Chronic atrophic gastritis);慢性萎缩性胃炎病变 (Chronic atrophic gastritis); 小结:慢性萎缩性胃炎 (Chronic atrophic gastritis);肠上皮化生(Intestinal metaplasia);3.肥厚性胃炎（Hypertrophic gastritis）;4.疣状胃炎 （gastritis verrucosa）;二 消化性溃疡病(peptic ulcer disease);病因及发病机理(Etiology pathogenesis);概念比较;病理变化: 胃溃疡Macroscopy: gastric ulcer;病理变化:十二指肠溃疡 Macroscopy: duodenal ulcer;胃 溃 疡;Microscopy: peptic ulcer; Microscopy: peptic ulcer;结局及并发症(Outcome complication);perforation;三 阑尾炎(Appendicitis);病因和发病机制(Etiology pathogenesis);1.急性单纯性阑尾炎（acute simple appendicitis）;2.急性蜂窝织炎性阑尾炎(acute phlegmonous appendicitis);大量中性粒细胞浸润，累及阑尾壁各层 浆膜炎性渗出，阑尾周围炎、局限性腹膜炎;3.急性坏疽性阑尾炎（acute gangrenous appendicitis）;4. 慢性阑尾炎chronic appendicitis;Summary: Types;结局及合并症 (Outcome complication);阑尾粘液囊肿 appendiceal mucocele;四 胃癌 (Carcinoma of stomach);病因和发病机理(Etiology pathogenesis);1 早期胃癌 (early gastric carcinoma) ;早期胃癌(隆起型):I型 (protruded type);早期胃癌(表浅隆起型):IIa型(superficial elevated type);早期胃癌(表浅平坦型):IIb型(superficial flat type);早期胃癌(凹陷型):III型(excavated type);2 中晚期（进展期）胃癌(Advanced gastric carcinoma);大体分型(macroscopic type);组织学分型(Histological type) ;管状腺癌Tubular adenocarcinoma;管状腺癌 Tubular adenocarcinoma ;乳头状腺癌 Papillary adenocarcinoma;粘液腺癌 mucinous adenocarcinoma;印戒细胞癌signet-ring cell carcinoma;印戒细胞癌signet-ring cell carcin