结核性胸膜炎ppt课件_6.pptVIP

;讲授目的和要求;讲授主要内容;Anatomy： 解剖学： Visceral pleura 脏层胸膜 Parietal pleura 壁层胸膜 Latent space 潜在腔隙; I.Etiology: Mycobacterium tuberculosis 病因：结核分枝杆菌 ;Discovered by Dr.Koch in 1882 由Dr.Koch 于1882年发现 Acid-fast 抗酸染色性;Pathogenesis :two theories 发病机制：两种学说 Delayed hypersensitive reaction 迟发性高敏反应 Pleural infection 胸膜感染; 1.Pleural congestion with cell infiltration, unilateral in most cases. 胸膜充血，细胞浸润，多数病例累及单侧胸膜; In the early stage, polymorphs predominate. 早期以多型核细胞为主 Typically, lymphocytes predominate. 典型表现以淋巴细胞为主 2. Tuberculous nodules 结核结节 3. Exudative