肺结核病继发性损害(附245例肺切除标本的观察)

• 作 者: 魏守礼 朱春贤 韩国福
• 机 构: 河北医学院第二附属医院病理科,河北省结核病医院病理科,河北省结核病医院功能科 050000,050041,050041
• 出 处: 中国防痨杂志
• 发表日期: 1991年04期
• 关键词: 继发性损害 肺结核病 肺/并发症 细支气管 病理生理学 肺内病变 洞型 干酪 纤维化 肺间质

本文通过245例肺结核切除标本的形态学观察,分析了纤维/空洞型与纤维干酪型肺结核继发性损害,如支气管和细支气管的扩张和狭窄以致闭塞;血管壁的炎性增厚及闭塞;肺间质及肺实质纤维化、肺气肿和肺大炮的出现等,对肺功能的损伤都有明显差异。另外,肺功能的损伤也与肺内病变的类型,病灶的性质、多少和大小也有一定关系。

In this paper, through the morphological observation of 245 cases of pulmonary tuberculosis resection specimens, the secondary damage of fiber / cavity type and fibro cheese type tuberculosis was analyzed, such as the expansion and stenosis of the bronchus and bronchioles; the thickening and occlusion of the blood vessel wall; Pulmonary interstitial and pulmonary parenchymal fibrosis, emphysema and the appearance of lung cannon, lung function damage have significant differences. In addition, the damage of lung function and the type of lung lesions, the nature of the lesion, how much and size have a certain relationship.