第2章 局部血液循环障碍_血栓（课件）-《病理学·第4版》同步教学（科学出版社）

第二章 局部血液循环障碍 病理学 局部血液循环障碍 Disorders of blood circulation locally 血栓的种类 部位 心脏 Cardiac 动脉 Arterial 静脉 Venous 毛细血管 Capillary 形态 白色血栓 Pale (platelet thrombus) 红色血栓 Red (RBC thrombus) 混合血栓 Mixed (intermittent layers) 透明血栓 （纤维素血栓） 病理学 局部血液循环障碍 Disorders of blood circulation locally 白色血栓 pale thrombus（血小板血栓） 病理学 局部血液循环障碍 Disorders of blood circulation locally 赘生物 vegetation 病理学 局部血液循环障碍 Disorders of blood circulation locally 病理学 局部血液循环障碍 Disorders of blood circulation locally Photo: Stevens A, Lowe J. Slide atlas of pathology. Mosby, London, 1995. 病理学 局部血液循环障碍 Disorders of blood circulation locally 病理学 局部血液循环障碍 Disorders of blood circulation locally This is chronic rheumatic valvulitis involving the mitral valve. The right panel illustrates the marked shortening and thickening of the chordae tendineae. In the left panel the enlarged left atrium is opened to reveal the "fishmouth" shape of the mitral valve, which is functionally both stenotic and partially insufficient. Mural thrombi may occur in such an enlarged atrium, and one is seen at the right. 层状血栓 Laminent thrombus （混合血栓 Mixed thrombus） 凝血级联形成纤维素 血小板聚集 红细胞被捕获与纤维素网中 层状外观 病理学 局部血液循环障碍 Disorders of blood circulation locally 静脉血栓（延续性血栓） 病理学 局部血液循环障碍 Disorders of blood circulation locally 病理学 局部血液循环障碍 Disorders of blood circulation locally 病理学 局部血液循环障碍 Disorders of blood circulation locally 降主动脉 （肾动脉-髂动脉） 附壁血栓 混合血栓（层状血栓） Renal Artery 病理学 局部血液循环障碍 Disorders of blood circulation locally 附壁血栓 Mural Thrombus Photo: Kumar, Cotran, Robbins. Robbins Basic pathology, 7th ed., Saunders, Philadelphia, 2003. Ventricles (Left) Aortic Aneurysm (Right) 病理学 局部血液循环障碍 Disorders of blood circulation locally 动脉血栓 病理学 局部血液循环障碍 Disorders of blood circulation locally 病理学 局部血液循环障碍 Disorders of blood circulation locally 左心房附壁血栓 病理学 局部血液循环障碍 Disorders of blood circulation locally 红色血栓 Red thrombus 静脉延续性血栓的尾部 过程同血管外凝血 注意与死后血凝块区别 死后血凝块Postmorten state: 红细胞沉积在下方，上方为‘chicken fat’血清；不与血管壁粘连; 病理学 局部血液循环障碍 Disorders of