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Patologia pulmonar acut

Acute respiratory disorders


Tema: Patologia pulmonar acut.
M I C R O P R E P A R A T E:
73. Pneumonie franc lobar. (stadiul de hepatizaie cenuie) (coloraie H-E).
Indicaii:
1. Exsudat n lumenul alveolelor:
a) filamente de fibrin;
b) leucocite neutrofile;
c) macrofage alveolare.
2. Vase hiperemiate n septurile interalveolare.
74. Bronhopneumonie (pneumonie focal). (coloraie H-E).
Indicaii:
1. Infiltrat inflamator n peretele bronhiei de calibru mic (bronhiolei).
2. Exsudat n lumenul bronhiei.
3. Exsudat predominant leucocitar n alveolele din jurul bronhiei.
4. Alveole nemodificate.
126. Bronhopneumonie abcedant. (coloraie H-E)
Indicaii:
1. Focar de inflamaie purulent cu liza parenchimului pulmonar (abces).
2. Alveolele adiacente cu exsudat inflamator.
193. Bronhopneumonie n curs de carnificare (coloraie H-E)
Indicaii:
1. Substituirea maselor de fibrin din lumenul alveolelor cu esut de granulaie (organizare).
2. Septuri interalveolare ngroate.
MAC R O PR E PARAT E
33. Pneumonie franc lobar (pneumonie crupoas) n stadiul de hepatizaie cenuie.
31. Pneumonie focal confluent.
32. Bronhopneumonie abcedant.
34. Pleurit fibrinoas.
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Acute respiratory disorders

Microspecimens
73. Lobar pneumonia (gray hepatization stage). (H-E stain.)
1. Exudate the lumen of alveoli:
a) fibrin strands;
b) neutrophils;
c) alveolar macrophages.
2. Hyperemic vessels in interalveolar septa.
74. Bronchopneumonia (focal pneumonia). (H-E stain.)
1. Inflammatory infiltrate in the wall of small caliber bronchus (bronchiolus).
2. Exudate into the lumen of the bronchi.
3. Predominantly leukocytic exudate around the bronchi into the alveoli.
4. Unchanged alveoli.
126. Bronchopneumonia with abscess formation. (H-E stain.)
1. Focus of purulent inflammation with lysis of the lung parenchyma (abscess).
2. Adjacent alveoli with inflammatory exudate.
193. Organization stage of bronchopneumonia. (H-E stain.)
1. Substitution of fibrin masses from the lumen of alveoli with granulation tissue (organization).
2. Thicked interalveolar septa.

Macrospecimens
33. Lobar pneumonia (gray hepatization stage).
31. Bronchopneumonia (focal pneumonia)
32. Bronchopneumonia with abscess formation
34. Fibrinous pleuritis
Bronhopneumonie Pneumonie lobar

Reprezentarea schematic a bronhopneumoniei i pneumoniei lobare.


Pleurit fibrinoas n
pneumonia lobar.
Pneumonie lobar, stadiul
de hepatizaie roie.
Pneumonie lobar, stadiul
de hepatizaie cenuie.
Pneumonie lobar, exudat fibrino-leucocitar n alveole, pleurit
fibrinoas. H-E
1

73. Pneumonie franc lobar. (stadiul de hepatizaie cenuie) (coloraie H-E).


Bronhopneumonie lobular
confluent.
1

2 3

74. Bronhopneumonie (pneumonie focal). (coloraie H-E).


Bronhopneumonie abcedant.
Bronhopneumonie abcedant.
2
1

126. Bronhopneumonie abcedant. (coloraie H-E)


Abces pulmonar (A),
pleurit purulent (B).
Pleurit
purulent,
empiem pleural.
Leptomeningit
purulent.
1

193. Bronhopneumonie n curs de carnificare (coloraie H-E)


Pneumonie cu organizarea exudatului (carnificare). H-E
Pneumonie interstiial. H-E
Pneumonie
interstiial. H-E
Aspiraia maselor
vomitive (n trahee).
Bronhopneumonia de aspiratie cu lichid amniotic.
(Hematoxilina-eozina)