动脉和毛细血管扩张-.pptxVIP

Local hemodynamic disorders;;病例摘要;Proper function of Heart and lung Integrity of the vasculature maintenance of balance between the coagulation and fibrinolytic systems stability of normal fluid homeostasi;Local hemodynamic disorders;A local increased volume of blood in a particular tissue 局部组织血管内血液含量的增多;An active process resulting from augmented blood flow due to arteriolar dilation 器官或组织因动脉输入血量的增多而发生的充血;Hyperemia 动脉性充血;Hyperemia 动脉性充血;Congestion 淤血;Causes Systemically, in cardiac failure Local--venous obstruction -- venous compressed;Morphology and Consequences Swollen, cyanosis (Blue-red color), low temperature 肿胀，发绀(蓝紫色），体表温度下降 Dilatation of local venules and capillaries 局部静脉和毛细血管扩张 Congestive edema 淤血性水肿 Congestive hemorrhage，hemosiderin–laden macrophage 淤血性出血 Parenchyma cell: atrophy, reversible injury, necrosis 实质细胞萎缩、变性、坏死 Interstitial hyperplasia: fibrosis, congestive sclerosis 间质纤维组织增生;Dilatation of local venules and capillaries;√Parenchyma cell: atrophy, reversible injury and necrosis √Interstitial hyperplasia: fibrosis, congestive sclerosis;Lung congestion 肺淤血 Left heart failure;Congestion 淤血 Acute pulmonary congestion;Congestion 淤血;Chronic pulmonary congestion The septa become thickened and fibrotic The alveolar spaces contain hemosiderin–laden macrophages;Chronic pulmonary congestion The septa become thickened and fibrotic The alveolar spaces contain hemosiderin–laden macrophages;Chronic pulmonary congestion;---肝淤血 Liver congestion Right-sided heart failure Acute hepatic congestion: Gross: dusky red, tense, slightly heavy; LM: central vein and sinusoids are distended with blood There may be central hepatocyte necrosis Chronic hepatic congestion: Gross: nutmeg liver LM: centrilobular necrosis and peri-lobular fatty change; hemorrhage; atrophy long standing congestion—hepatic fibrosis;Congestion 淤血;Chronic hepatic congestion nutmeg liver;---肝淤血 Liver congestion;Congestion 淤血 congestion of liver;Centrilobular necrosis with hemorrhage and hemosiderin;conge