心血管系统疾病与心力衰竭（病理学课件）.pptx

PowerPointPres;一、概述;PowerPointPres;二、病因和发病机制;二、病因和发病机制;三、基本病变---累及全身结缔;⑴变质渗出期持续1个月;⑴变质渗出期;PowerPointPres;⑵增生期（肉芽肿期）持续2;PowerPointPres;⑶瘢痕期（硬化期）持续2;四、各器官病变;（一）风湿性心脏病;1.风湿性心内膜炎;PowerPointPres;PowerPointPres;风湿性心内膜炎(二尖瓣上的疣赘;风湿性心内膜炎(镜下观);瓣膜增厚、变硬、粘连、狭窄--;风湿性心内膜炎(二尖瓣，复发);2.风湿性心肌炎;纤维素性心包炎(绒毛心);（二）风湿性关节炎;（三）皮肤病变——环形红斑;（四）皮下结节;（五）风湿性动脉炎;PowerPointPres;（六）风湿性脑病;PowerPointPres;重点难点;一、定义;PowerPointPres;脑动脉粥样硬化;冠状动脉粥样硬化（肉眼观）;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;单核细胞迁入内膜(模式图);脂纹(模式图);PowerPointPres;PowerPointPres;三、病理变化分期;1.脂斑脂纹期---早期;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;2.纤维斑块期---中期;PowerPointPres;3.粥样斑块期（粥瘤）;隆起的斑块;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;4、继发性病变complic;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;4.继发性病变;四、动脉粥样硬化举例;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;重点难点;冠状动脉性心脏病;PowerPointPres;冠状动脉性心脏病;冠状动脉性心脏病;冠状动脉前降支As;冠状动脉粥样硬化性心脏病;PowerPointPres;PowerPointPres;PowerPointPres;心肌缺血缺氧的原因;（一）心绞痛;（二）心肌梗死;（二）心肌梗死;冠状动脉前降支As;PowerPointPres;PowerPointPres;冠状动脉(As1);冠状动脉(As2);（5）病理变化;PowerPointPres;心内膜下心肌梗死(横切面);左心室下壁梗死;PowerPointPres;心内膜下心肌梗死;PowerPointPres;PowerPointPres;PowerPointPres;左心室前壁、心尖区梗死及巨大室;左心室侧壁梗死及下壁瘢痕;侧壁梗死破裂导致心包填塞;左心室下壁梗死及破裂;左心室心尖室壁瘤;左心室下壁???死伴血栓形成;（三）心肌硬化—即心肌纤维化;PowerPointPres;冠心病---心肌梗死;冠状动脉粥样硬化性心脏病;冠状动脉性心脏病;冠状动脉前降支As;冠状动脉粥样硬化性心脏病;PowerPointPres;PowerPointPres;PowerPointPres;心肌缺血缺氧的原因;㈠心绞痛angina;2.心肌梗死;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;PowerPointPres;（5）病理变化;PowerPointPres;心内膜下心肌梗死(横切面);PowerPointPres;心内膜下心肌梗死;PowerPointPres;PowerPointPres;左心室前壁、心尖区梗死及巨大室;左心室侧壁梗死及下壁瘢痕;左心室下壁梗死;PowerPointPres;左心室下壁梗死及破裂;左心室心尖室壁瘤;PowerPointPres;3.心肌硬化—即心肌纤维化;