课程名称：Pathology    课程内容：肝、胆、胰疾病 DISEASES OF THE LIVER,THE BILIARY TRACT AND THE PANCREAS

教师姓名：孙保存    职称：教授     教学日期：2005年下学期

授课对象：七年制    教材版本：病理学（卫生部规划教材七年制 第一版）          

授课方式：大课      学时数：4学时    听课人数： 90    人

本单元或章节的教学目的与要求： 

After completion of the part of diseases of the liver, the biliaty tract  and the pancreas, students should have mastered the main pathologic changes of the inflammatory and neoplastic diseases of the pancreas, the intrahepatic and extrahepatic bile ducts, learn the pathogenesis of the above diseases, and have an understanding of the outline of the digestive glandular diseases.

授课主要内容及学时分配：

viral hepatitis (etiology, pathogenesis, pathologic changes, types), 75min.

liver cirrhosis(etiology, pathogenesis, types, pathologic changes, clinical-pathological correlations, complications), 75min.

primary carcinoma of the liver(pathologic changes, types, pathogenesis), 25min.

cholelithiasis & Carcinoma of the bile ducts, 25min.

pancreatitis & carcinoma of the pancreas, 50min.

重点：难点及对学生要求（包括掌握、熟悉、了解、自学）

1.The etiology, pathogenesis, pathologic changes, types  and prognosis of viral hepatitis

2.The pathogenesis and pathologic changes of liver cirrhosis and differentiating the following types of hepatic cirrhosis based on clinicopathologic data: portal cirrhosis vs. postnecrotic cirrhosis.

3.The pathologic characteristics of primary carcinoma of the liver and carcinoma of the pancreas.

外语词汇：

1.     viral hepatitis, 

2.     ballooning change

3.     piecemeal necrosis

4.     bridging necrosis

5.     liver cirrhosis

6.     portal hypertension

7.     hepatocellular carcinoma

8.     cholangiocarcinoma

9.     choleithiasis

10.  pancreatitis

复习思考题：

1. Write brief note on the pathological types of viral hepatitis, and compare acute viral hepatitis, chronic viral hepatitis and fulminant hepatitis in terms of clinical presentation, etiology, morphology and clinical course-prognosis.

2. What is the pathogenesis of liver cirrhosis? Compare portal cirrhosis and postnecrotic cirrhosis.

3. Write a short note on the concept and features of early carcinoma of the liver.

4. Write brief note on the different points between acute edematigenous pancreatitis and acute hemorrhagic pancreatitis?

参考资料：

1. MacSween RNM, Anthomy PP, Scheuer PT et al. Pathology of the liver. 3 th ed. Edingburg: Churchill Livingstone, 1995.

2. Kumar V, Cotran RS, Robbins SL. Basic Pathology.  th ed. Philadelphia: WB Saunders, 1997.

3. 刘彤华主编. 诊断病理学. 北京: 人民卫生出版社, 1995.

4. 张泰和, 周晓军主编《实用肝脏病理学》. 上海科技出版社, 1995.