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Макропрепарат: геморрагиялық менингит.
Есеп №1. Патологоанатомиялық бөлімшеге инфекциялық емханадан 30 жастағы ер кісінің денесі әкелінді. Сырхатнама: дене температурасы 40 С дейін көтерілген, әлсіздік, өзін нашар сезіну, тершеңдік. Объективті тексерген кезде қабыну үрдістері көрінеді. Бір күн өткеннен кейін психикалық қабыну мен ауыр тыныс жетіспеушілігі қосылған. Лабораторияда ауыз жұтқыншақтан А тобындағы вирус анықталды. Бас миының жартышарларын ашып қарағанда ми ісінген, мидың жұмсақ қабығының барлық бөлігі кенеттен ісінген, толақанды, қан құйылу ошақтары бар. Патологоанатомдық диагноз қойылды: жедел респираторлы вирустық инфекция (вирус А). Екіжақты маңызды-геморрагиялық пневмония. Диффузды геморрагиялық менингит.
Сұрақтары: 1. Вирусты инфекция кезіндегі геморрагиялық менингитке морфологиялық сипаттама беріңіз. 2. «Вирус трофизмі» сөзінің мағынасын түсіндіріңіз. 3. Геморрагиялық синдромның дамуының патогенезін түсіндіріңіз. 4. Геморрагиялық менингит кезіндегі экссудаттың пайда болуын түсіндіріңіз. 5. Вирусты инфекция кезінде басқа қандай асқыну дамиды?
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