薯第二篇呼吸系统疾病第十一章结核性胸膜炎(TuberculousPleuralEffusion)赵建平学时数:1学时喜讲授目的和要求1.掌握结核性胸膜炎的诊断及鉴别诊断。2.掌握结核性胸膜炎的治疗原则。喜讲授主要内容技逊YWisceralDleuraParietalDleuraLatent8Dace史薯病因和发病机制I.Btiology:MPcopacteriufupercU10s15病因|i结榴分抒杆菅盏0/e寞edbyDr.Kochin1882由Dr.Koch于1882Ahcid-fast吊弛吴吴园Pathogenesis:twWotheories发病机制:两种学说Delayedhypersensitivereaction迟发性高敏反应Pleuralinfection胸膜感染病理1.Pleural“congestion“with“cellinfiltrationm,unilateralinmostCaSeS。胸膜声妲绝学浸银口多熟病例祯及单侧胸膜孙“Intheear1y$tage,polymorphs“Dpredominate.早期以多型核细胞为主Typically,1ymphocytespredominate.典型袁邦以渝FR肽峡艺2,Tuberculousnodules结核结节3,Exudativeeffusion渗出液喜临床表现Symptoms痱状1hge,oftenseeninyoungpeople,butal1s0inelderlypeople1,年龄,|紫网不绍银个1人8一一见示英帕y2Fever,typical1y37382C,butcanbe39eC2.发热,典型者37-38“C,但也有39eC者