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ID:15174942
大小:9.19 MB
页数:14页
时间:2018-08-01
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1、Lab6diseasesofthecardiovascularsystemgrossspecimensAcuterheumaticendocarditisRepeatedrheumaticendocarditisAorticstenosisHypertensiveheartdiseaseArteriolarnephrosclerosisBrainhemorrhageAtherosclerosisoftheaorta/coronaryNormalstructureofheartNormaltricuspidvalve二尖瓣亚急性细菌
2、性心内膜炎47.Acuterheumaticendocarditis48.Rheumaticmyocarditis50.Primaryarteriolarnephroslcerosis51.Aorticatherosclerosis52.CoronaryatherosclerosisTissuesectionsFirsttorecognizethevalveandthevegetations.Therearemucoiddegeneration,fibrinoidnecrosisandinflammatoryinfiltration.V
3、egetationsmainlyconsistofpinktrabecularplateletsandredfibrinnetworkwithRBCinit.47.Acuterheumaticendocarditis48.RheumaticmyocarditisAschoffbodyconsistsofcentralfibrinoidnecrosiswithaperimeterofAschoffcell,lymphocyte.Aschoffcellshaveabundantbasophiliccytoplasmandsingleormu
4、ltiplecentralround-to-ovoidnucleiinwhichthechromatinisdisposedinthecentralzone.Incrosssection“owleye”appearance,cutlongitudinallyresemblea“caterpillar”.50.primaryarteriolarnephrosclerosisTheafferentglomerulararteriole:hyalinedegenerationSomeofglomerulisufferedfibrosis,hy
5、alinedegeneration,atrophy,disappearOtherglomerulisufferedcompensatoryhypertrophy;renaltubuledilate,andproteincastcanbeseen.51.Aorticatherosclerosis52.CoronaryatherosclerosisLocalintimathickenapparently;surfaceofintimaisfibrouscapwithhyalinedegeneration.Thelightstainedar
6、eaisnecroticsubstance,cholesterolcrytstalandcalcificationunderthecap.Mediaiscompressedandbecomethinner.
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