结核性胸膜炎.pptx

文档介绍：2020/4/22河北联合大学附属医院结核性胸膜炎(TuberculousPleuralEffusion)2020/4/22河北联合大学附属医院Anatomy:解剖学:Visceralpleura脏层胸膜Parietalpleura壁层胸膜Latentspace潜在腔隙概述2020/4/:Mycobacteriumtuberculosis病因:结核分枝杆菌病因和发病机制2020/4/-fast抗酸染***2020/4/22河北联合大学附属医院Pathogenesis:twotheories发病机制:两种学说Delayedhypersensitivereaction迟发性高敏反应Pleuralinfection胸膜感染2020/4/,,细胞浸润,多数病例累及单侧胸膜病理2020/4/22河北联合大学附属医院Intheearlystage,,,oftenseeninyoungpeople,,多见于年轻人,但也可见于老年人Fever,typically37~38C,butcanbe>39,典型者37-38C,但也有>39C者2020/4/22河北联合大学附属医院Chestpain,,胸水少时明显Breathlessness,,胸水多时明显2020/4/22河北联合大学附属医院Physicalsigns体征Inspection:::tracheashiftstotheotherside,:气管向健侧移位,触觉语颤减低