- •Патофизиология внешнего дыхания
- •1.Аппарат внешнего дыхания, регуляция его функций, механизмы физиологической протекции паренхимы легких и воздухоносных
- •Нервная регуляция диаметрта ВП
- •Obstructive Lung Diseases
- •Патогенез бронхиальной астмы
- •Obstructive Lung Diseases
- •хронический бронхит
- •Obstructive Lung Diseases
- •эмфизема лёгких
- •Obstructive Lung Diseases
- •This is another form of obstructive lung disease known as bronchiectasis. Bronchiectasis occurs
- •Иммуннологические механизмы повреждений лёгких
- •A silicotic nodule in lung is seen here. It is composed mainly of
- •Anthracotic pigment ordinarily is not fibrogenic, but in massive amounts (as in "black
- •At low magnification can be seen multiple small granulomas in this case of
- •The acute intra-alveolar hemorrhage seen here is a consequence of capillary injury from
- •Restrictive Lung Diseases
- •In this is an example of hypersensitivity pneumonitis that has become more chronic,
- •This is hypersensitivity pneumonitis, a type of interstitial pneumonitis also known as extrinsic
- •Restrictive Lung Diseases
- •ПАТОГЕНЕЗ РДСВ
- •Restrictive Lung Diseases
- •Различают 3 формы ДН:
A silicotic nodule in lung is seen here. It is composed mainly of bundles of interlacing pink collagen. There is a minimal inflammatory reaction.
Anthracotic pigment ordinarily is not fibrogenic, but in massive amounts (as in "black lung disease" in coal miners) a fibrogenic response can be elicited to produce the "coal worker's pneumoconiosis" seen here.
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Restrictive Lung Diseases |
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Disease |
Mechanism |
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This idiopathic condition is characterized by granuloma formation. The granulomas
Sarcoidosis are typically non-caseating. Hilar lymph nodes are nearly always involved and can become quite large
At low magnification can be seen multiple small granulomas in this case of sarcoidosis. These numerous interstitial granulomas can produce a restrictive lung disease.
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Restrictive Lung Diseases |
Disease |
Mechanism |
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There is antiglomerular basement membrane |
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antibody (that also is directed at pulmonary capillary |
Goodpasture |
basement membranes) that causes a form of type II |
Syndrome |
hypersensitivity reaction which damages alveolar |
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capillary basement membranes with subsequent |
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hemorrhage into alveoli |
The acute intra-alveolar hemorrhage seen here is a consequence of capillary injury from basement membrane antibody in a patient with Goodpasture syndrome. The glomerular capillaries are targeted as well, leading to a rapidly progressive glomerulonephritis. Circulating anti-glomerular basement membrane antibody can be detected.
Restrictive Lung Diseases
Disease |
Mechanism |
Hypersensitivity
Pneumonitis
Inhaled allergens produce localized antigen- antibody complexes that lead to an acute extrinsic allergic alveolitis, a form of type III hypersensitivity. If chronic, there can be a type IV hypersensitivity response
In this is an example of hypersensitivity pneumonitis that has become more chronic, a granulomatous type of inflammation is present, indicative of a type IV hypersensitivity reaction.
This is hypersensitivity pneumonitis, a type of interstitial pneumonitis also known as extrinsic allergic alveolitis because it occurs when there is an inhaled organic dust that produces a localized for of type III hypersensitivity (Arthus) reaction from antigen-antibody complexes.
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Restrictive Lung Diseases |
Disease |
Mechanism |
Therapeutic
Complications
Radiation
Drugs
The lungs can be damaged by radiation and pharmacologic agents used to treat various conditions
External beam radiation therapy, particularly mantle radiation for Hodgkin disease, can result in progressive fibrosis of interstitium and pleura
The chemotherapeutic agents bleomycin and busulfan in particular induce pulmonary fibrosis