分支杆菌属课件

1、Department of Microbiology, Harbin Medical University 第二篇 致病性细菌 Department of Microbiology, Harbin Medical University 教学大纲 Department of Microbiology, Harbin Medical University 分枝杆菌属 Department of Microbiology, Harbin Medical University 分枝杆菌属（Mycobacterium） 结核分枝杆菌 Department of Microbiology, Harbin

2、Medical University 流行病学 Department of Microbiology, Harbin Medical University 形态与染色 Department of Microbiology, Harbin Medical University 培养特性 Department of Microbiology, Harbin Medical University 抵抗力 Department of Microbiology, Harbin Medical University 变异性 Department of Microbiology, Harbin Medica

3、l University 致病物质 Department of Microbiology, Harbin Medical University 所致疾病 Department of Microbiology, Harbin Medical University 肺部感染原发感染 Department of Microbiology, Harbin Medical University 原发感染 Department of Microbiology, Harbin Medical University 肺部感染继发感染 Department of Microbiology, Harbin Med

4、ical University 肺外感染 Department of Microbiology, Harbin Medical University 免疫机制 Department of Microbiology, Harbin Medical University 免疫与超敏反应 Department of Microbiology, Harbin Medical University 局部红肿、浅溃疡 不扩散 以前感染过或免疫豚鼠正常豚鼠 局部红肿、溃疡 坏死，经久不愈 全身扩散 有毒TB菌 Department of Microbiology, Harbin Medical Univer

5、sity 结核菌素试验 Department of Microbiology, Harbin Medical University 结核菌素试验 Department of Microbiology, Harbin Medical University 结核菌素试验结果分析 硬结、红肿直径 0.5-1.5cm之间 出现超敏反应 不表示正患结核病 硬结直径超过 1.5cm以上 表明可能有活动性结 核，应进一步检查 注射部位有针眼大的 红点或稍有红肿，硬 结直径小于0.5cm 无结核感染，但应考虑：无结核感染，但应考虑： 原发感染的早期原发感染的早期 正患严重结核病正患严重结核病 正患其他传染病（

6、麻疹）正患其他传染病（麻疹） Department of Microbiology, Harbin Medical University 结核菌素试验应用 Department of Microbiology, Harbin Medical University 微生物学检查 Department of Microbiology, Harbin Medical University 特异性防治 麻风分枝杆菌 Department of Microbiology, Harbin Medical University 麻风分枝杆菌（M. leprae） Department of Microbio

7、logy, Harbin Medical University 形态与染色 Department of Microbiology, Harbin Medical University 培养特性 Department of Microbiology, Harbin Medical University 致病性 Department of Microbiology, Harbin Medical University 麻风两型两类相互间的关系图麻风两型两类相互间的关系图 Department of Microbiology, Harbin Medical University 微生物学诊断 Department of Microbiology, Harbin Medical University 防治原则 非结核分枝杆菌 Department of Microbiology, Harbin Medical University 非结核分枝杆菌 Department of Microbiology, Harbin Medical University 分类 De