医学与人类健康：心血管系统疾病.pptVIP

* 图示三条主动脉，从下向上分别显示轻、中、重度粥样硬化。轻度者只有散在的脂纹，中度者有很多较大的斑块，重度者斑块广泛溃疡形成。 * The anterior surface of the heart demonstrates an opened left anterior descending coronary artery.Within the lumen of the coronary can be seen a dark red recent coronary thrombosis. The dull red color to the myocardium as seen below the glistening epicardium to the lower right of the thrombus is consistent with underlying myocardial infarction. * Here is an example of an atherosclerotic aneurysm of the aorta in which a large bulge appears just above the aortic bifurcation.Such aneurysms are prone to rupture when they reach about 6 to 7 cm in size. They may be felt on physical examination as a pulsatile mass in the abdomen.Most such aneurysms are conveniently located below the renal arteries so that surgical resection can be performed with placement of a dacron graft. * The coronary artery shown here has narrowing of the lumen due to build up of atherosclerotic plaque. Severe narrowing can lead to angina, ischemia, and infarction. * There is a severe degree of narrowing in this coronary artery. It is complex in that there is a large area of calcification on the lower right, which appears bluish on this HE stain. Complex atheroma have calcification, thrombosis, or hemorrhage. Such calcification would make coronary angioplasty difficult. * 图示左心室的冠状动脉切面，左心室后侧壁新鲜的心肌梗死病灶，约为发病第2~5天。梗死的心肌有出血。 * This is the left ventricular wall which has been sectioned lengthwise to reveal a large recent myocardial infarction. The center of the infarct contains necrotic muscle that appears yellow-tan. Surrounding this is a zone of red hyperemia. Remaining viable myocardium is reddish- brown. * This cross section through the heart demonstrates the left ventricle on the left. Extending from the anterior portion and into the septum is a large recent myocardial infarction. The center is tan with surrounding hyperemia. The infarction is transmural in that it extends through the full thickness of the wall. * This is the no