慢性阻塞性肺疾病是一种具有气流阻塞特征的慢性支气管炎和(或)肺气肿,可进一步发展为肺心病和呼吸衰竭的常见慢性疾病。与有害气体及有害颗粒的异常炎症反应有关,致残率和病死率很高,全球40岁以上发病率已高达9%~10%。
慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是一种常见的以持续气流受限为特征的可以预防和治疗的疾病,气流受限进行性发展,与气道和肺脏对有毒颗粒或气体的慢性炎性反应增强有关。
病因
慢性阻塞性肺病的确切病因不清楚,一般认为与慢支和阻塞性肺气肿发生有关的因素都可能参与慢性阻塞性肺病的发病。已经发现的危险因素大致可以分为外因(即环境因素)与内因(即个体易患因素)两类。外因包括吸烟、粉尘和化学物质的吸入、空气污染、呼吸道感染及社会经济地位较低的人群(可能与室内和室外空气污染、居室拥挤、营养较差及其他与社会经济地位较低相关联的因素有关)。内因包括遗传因素、气道反应性增高、在怀孕期、新生儿期、婴儿期或儿童期由各种原因导致肺发育或生长不良的个体。
第一章 细胞、组织的适应和损伤
肾萎缩 atrophy kidney
肾盂积水 hydronephrosis
心肌肥大 hypertrophy of myocardium
肝水变性 hydropic degeneration of liver
肾水变性 hydropic degeneration of kidney
脾被膜透明变性 hyaline degeneration of spleen capsule
胸膜透明变性 hyaline degeneration of pleura
脾梗死 infarct of spleen
肾干酪样坏死 caseous necrosis of kidney
足坏疽 gangrene of foot
阿米巴肝脓肿 amoebic abscess of liver
支气管粘膜鳞状上皮化生 squamous metaplasia of bronchus
胃粘膜肠上皮化生 intestinal metaplasia of gastric epithelium
肝脂肪变性 fatty degeneration of liver
苏丹Ⅲ染色 Sudan Ⅲ staining
脾小动脉透明变性 hyaline degeneration of splenic arteries
结缔组织透明变性 hyaline degeneration of connective tissue
病理性钙化 pathological calcification
干酪样坏死 caseous necrosis
第二章 损伤的修复和创伤愈合
骨折愈合 fracture healing 肉芽组织 granulation tissue
第三章 局部血液循环障碍
肺褐色硬化 brown induration of lung
槟榔肝 nutmeg liver
动脉血栓 thrombus of artery
静脉血栓 thrombus of vein
心室附壁血栓 mural thrombus of ventrium
心瓣膜血栓 valvular thrombus
脾、肾贫血性梗死 anemic infarct of spleen and kidney
心肌梗死 myocardial infarct
肺出血性梗死 hemorrhagic infarct of lung
小肠出血性梗死 hemorrhagic infarct of small intestine
脑出血 cerebral hemorrhage
混合血栓 mixed thrombus
血栓机化与再遇 organization and recanalization of thrombus
肾梗死 infarct of kidney
肺梗死 infarct of lung
第四章 炎 症
急性单纯性阑尾炎 acute simple appendicitis
急性化脓性阑尾炎 acute purulent appendicitis
急性坏疽性阑尾炎 acute gangrenous appendicitis
化脓性脑膜炎 purulent meningitis
肺脓肿 abscess of lung
脑脓肿 abscess of brain
纤维素性心包炎 fibrinous pericarditis
气管白喉 diphtheria of trachea
胸膜粘连 adhesion of pleurae
慢性胆囊炎 chronic cholecystitis
鼻炎性息肉 nasal inflammatory polyp
炎性细胞 inflammatory cells
急性蜂窝织炎性阑尾炎 acute phlegmonous appendicitis
纤维素性脓性心外膜炎 fibrinous-purulent pericarditis
异物肉芽肿 foreign body granuloma
结核性肉芽肿 tuberculosis granuloma
第五章 肿瘤
皮肤乳头状瘤 papilloma of skin
膀胱乳头状瘤 papilloma of bladder
息肉状肠腺瘤 polypous adenoma
甲状腺腺瘤 thyroid adenoma
浆液、粘液性囊腺瘤 serous(mucinous)cystadenoma
乳腺纤维腺瘤 fibroadenoma of breast
结肠、直肠多发性腺瘤性息肉 multiple adenmatous
polypus of colon or rectum
纤维瘤 fibroma
脂肪瘤 lipoma
血管瘤 hemangioma
海绵状血管瘤 cavernous hemangioma
淋巴管瘤 lymphangioma
子宫平滑肌瘤 leiomyoma of uterus
骨瘤 osteoma
软骨瘤 chondroma
皮肤鳞状细胞癌 squamous cell carcinoma of skin
膀胱移行上皮癌 transitional cell caricinoma of bladder
胃、肠腺癌 adenocarcnoma of stomach or intestine
粘液癌 mucoid carcinoma
乳腺癌 carcinoma of breast
平滑肌肉瘤 leiomyosarcoma
骨肉瘤 osteosarcoma
视网膜母细胞瘤 retinoblastoma
恶性淋巴瘤 malignant lymphoma
乳腺癌伴腋窝淋巴转移 carcinoma of the breast with metastasis of lymph node
胃腺癌伴淋巴结转移 gastric adenocarcinoma with metastasis of lymph node
肺转移性恶性肿瘤 metastatic malignant tumor of lung
脑转移性恶性肿瘤 metastatic malignant tumor of brain
肝转移性恶性肿瘤 metastatic malignant tumor of liver
Krukenberg瘤 Krukenberg tumor
畸胎瘤 teratoma
淋巴结转移性瘤 metastatic carcinoma of lymph node
恶性肿瘤细胞涂片 cancer cells in smear
肠腺瘤 adenoma of intestine
舌鳞状细胞癌Ⅰ级 squamous cell carcinoma grade Ⅰ of tongue
皮肤鳞状细胞癌Ⅱ级 squamous cell carcinoma grade Ⅱ of skin
移行细胞癌Ⅱ级 transitional cell carcinoma grade Ⅱ
纤维肉瘤 fibrosarcoma
毛细血管瘤 capillary hemangioma
第六章 心血管疾病
急性风湿性心内膜炎 acute rheumatic endocarditis
急性感染性心内膜炎 acute infecetive endocarditis
亚急性感染性心内膜炎 subacute infective endocarditis
风湿性心瓣膜病 rheumatic valvular vitium of heart
主动脉粥样硬化 atherosclerosis of aorta
脂纹 fatty streak
纤维斑块 fibrous plaque
粥样斑块 atheromatous plaque
冠状动脉粥样硬化 coronary atherosclerosis
脑动脉粥样硬化 atherosclerosis of brain
心肌梗死 myocardial infarction
原发性高血压 primary hypertension
风湿性心肌炎 rheumatic myocarditis
原发性高血压肾 kindey of primary hypertension
第七章 呼吸系统疾病
大叶性肺炎 lobar pneumonia
小叶性肺炎 lobular pneumonia
硅肺 silicosis
肺癌 carcinoma of lung
支气管扩张 bronchiectasis
肺气肿 pulmonary emphysema
慢性肺源性心脏病 chronic cor pulmonale
慢性支气管炎 chronic bronchitis
鼻咽部泡状核细胞癌 nasopharyngeal vesicular nucleus cell carcinoma
第八章 消化系统疾病
慢性胃溃疡 chronic gastric ulcer
急性重症型病毒性肝炎 acute severe viral hepatitis
亚急性重型病毒性肝炎 subacute severe viral hepatitis
门脉性肝硬化 portal cirrhosis
坏死后性肝硬化 postnecrotic cirrhosis
胆汁性肝硬化 biliary cirrhosis
食管癌 esophageal carcinoma
胃癌 gastic carcinoma
革囊胃 linitis plastica
大肠癌 carcinoma of large intestine
重度慢性萎缩性胃炎 severe chronic atrophic gastritis
原发性肝癌 primary carcinoma of liver
急性普通型病毒性肝炎 acute general viral hepatitis
原发性肝细胞癌 primary hepatocellular carcinoma
第九章 造血和淋巴系统疾病
恶性淋巴瘤 malignant lymphoma
霍奇金淋巴瘤 Hodgkin’s lymphoma, HL
非霍奇金淋巴瘤 non-Hodgkin’s lymphoma, NHL
慢性淋巴细胞性白血病 chronic lymphocytic leukemia
第十章 泌尿系统疾病
急性弥漫性增生性肾小球肾炎 acute diffuse proliferative glomerulonephritis
慢性肾小球肾炎 chronic glomerulonephritis
慢性肾盂肾炎 chronic pyelonephritis
肾细胞癌 renal cell carcinoma
膀胱移行细胞癌 transitional cell carcinoma of bladder
肾透明细胞癌 renal clear cell carcinoma
局灶性节段性肾小球硬化 focal segmental glomerulosclerosist
快速进行性肾小球肾炎 rapidly progressive glomerulonephritis
膜性肾小球肾炎 membranous glomerulonephritis
膜性增生性肾小球肾炎 membranoproliferative glomerulonephritis
第十一章 生殖系统和乳腺疾病
子宫颈癌 carcinoma of cervix
葡萄胎 hydatidiform mole
侵袭性葡萄胎 invasive hydatidiform mole
绒毛膜上皮癌 choriocarcinoma
卵巢囊腺瘤 cystadenoma of ovary
卵巢良性囊性畸胎瘤 benign cystic teratoma of ovary
子宫颈原位癌 carcinoma in situ of cervix
子宫颈鳞状细胞癌 squamous cell carcinoma of cervix
乳腺单纯癌 carcinoma simplex of breas
前列腺增生 hyperplasia of prostate
精原细胞瘤 seminoma
阴茎癌 carcinoma of penis
第十二章 内分泌系统疾病
弥漫性胶样甲状腺 diffuse colloid goiter
结节性甲状腺肿 nodular goiter
弥漫性毒性甲状腺肿 diffuse toxic goiter
甲状腺腺瘤 thyroid adenoma
甲状腺癌 thyroid adenocarcinoma
甲状腺乳头状癌 papillary adenocarcinoma of thyroid gla
第十三章 神经系统疾病
流行性脑膜炎 epidemic meningitis
流行性乙型脑炎 epidemic encephalitis B
星形胶质细胞瘤 astrocytoma
脑膜瘤 meningioma
神经鞘瘤 neurilemmoma
神经纤维瘤 neurofibromatosis
第十四章 传染病
原发性结核 primary pulmonary tuberculosis
粟粒性结核 miliary tuberculosis
浸润性肺结核 infiltrative pulmonary tuberculosis
慢性纤维空洞性肺结核 chronic fibrocavitary pulmonary tuberculosis
干酪样肺炎 caseous pneumonia
肺结核球 pulmonary tuberculoma
肠结核 intestinal tuberculosis
结核性腹膜炎 tuberculous peritonitis
肾结核 renal tuberculosis
脊椎结核 tuberculosis of vertebral bodies
肠伤寒 typhoid fever of intestine
细菌性痢疾 bacillary dysentery
梅毒性主动脉炎 syphilitic aortitis
淋巴结结核 tuberculosis of lymph nodes
淋巴结结核纤维化 tuberculosis of lymph nodes with fibrosis
肝结核 tuberculosis of liver
瘤型麻风 lepromatous leprosy
第十五章 寄生虫病
血吸虫性肝硬化 schistosomiasis cirrhosis of liver
肠血吸虫病 intestinal schistosomiasis
肠阿米巴病 intestinal amoebiasis
阿米巴肝脓肿 amoebic abscess of liver
肺吸虫病 paragonimiasis