病理学--心脑血管疾病2.ppt

department of pathology department of pathology department of pathology In heart, Acute — rheumatic pericarditis rheumatic myocarditis rheumatic endocarditis Chronic — rheumatic valvular disease department of pathology department of pathology department of pathology department of pathology department of pathology In joints, Rheumatic polyarthritis (fibrinous inflammation) department of pathology department of pathology Etiological factor Pathogenesis location Basic change Morphological features Gross Light microscopy Clinical features Outcome department of pathology Etiological factor: group A streptococci Pathogenesis: unclear location: heart and joints Basic change: three phase(proliferative inflammation) Morphological features Gross: Light microscopy: Clinical features: child Outcome: cause chronic valvular disease rheumatism department of pathology Atherosclerosis Coronary atherosclerosis, coronary heart disease Hypertension Rheumatism Infective endocarditis Cardiac valave Cardiomyopathy(myocardiopathy) Myocarditis Production department of pathology department of pathology department of pathology Infective endocarditis department of pathology department of pathology department of pathology department of pathology department of pathology 病变特点： 1、病变的瓣膜常见 2、致病力弱的病原菌 3、赘生物“大”、“松”、“脆” department of pathology department of pathology Atherosclerosis Coronary atherosclerosis, coronary heart disease Hypertension Rheumatism Infective endocarditis Cardiac valave Cardiomyopathy(myocardiopathy) Myocarditis Production department of pathology department of pathology Cardiomyopathy Dilated cardiomyopathy Hypertrophic cardiomyopathy Restrictive cardiomyopathy department of pathology department of pathology This is a heart from a patient with dilated cardiomyopathy. Note the dilated left ventricle. department of pathology This is a heart from a pati