消化系统疾病-肝脏疾病.pptVIP

基本病变 Jaundice (icterus): Too much bilirubin (conjugated or not) in the bloodstream, for any reason黄疸 Jaundice Increased amounts of circulating bilirubin in the blood can lead to the icterus or jaundice. The easiest place to see icterus is on the sclera of the eye.（巩膜黄染） Intrahepatic cholestasis.Bile can be seen in dilating canaliculi, predominantly in the centrilobular zones. The yellow-green globular material seen in small bile ductules in the liver here is bilirubin pigment. 肝炎分类 普通型：急性(最常见)、慢性 慢性：轻度、中度、重度 重型：急性、亚急性 肝细胞变性、肿胀→肝↑→ 被膜紧张 →疼痛 肝细胞坏死→ 谷丙转氨酶↑ 胆红素摄取、结