病理生理学 (19)病理生理学.pdf

Edema and Abnormal Fluid Distribution between the Vascular and Interstitial Compartments 《七律二首·送瘟神 》 毛泽东 其一 绿水青山枉自多，华佗无奈小虫何。 千村薜荔人遗矢，万户萧疏鬼唱歌。 坐地日行八万里，巡天遥看一千河。 牛郎欲问瘟神事，一样悲欢逐逝波。 其二 春风杨柳万千条，六亿神州尽舜尧。 红雨随心翻作浪，青山着意化为桥。 天连五岭银锄落，地动三河铁臂摇。 借问瘟君欲何往，纸船明烛照天烧。 Peoples Daily report on the eradication of schistosoma in Yujiang County of JiangXi province （1958-6-30）  What is ascites?  How does ascites happen in patients with schistosomiasis ? 1. Edema Edema is an excess of fluid in the interstitial compartment or body cavity. Hydrops refers to the edema occurring in the body cavity, such as ascites, pleural hydrops. 2. Normal Fluid distribution between the vascular and interstitial compartments capillary Artery Effective hydrostatic pressure - Vein effective colloid osmotic pressure effective filtration pressure Lymph vessel Collagen 3. Abnormal Fluid Distribution between the Vascular and Interstitial Compartments （1）Increased capillary hydrostatic pressure Congestive heart failure Thromboembolism Tumor compression Venous end occlusion From Lee-Ellen C. Copstead, Jacquelyn L. Banasik: Pathophysiology, 5th edition, St Louis, 2013, p527.) 3. Abnormal Fluid Distribution between the Vascular and Interstitial Compartments （1）Increased capillary hydrostatic press