?1 ?????????(TMA)???

1
?1 ?????????(TMA)??? ??????
Non-Neoplastic Kidney Diseases Atlas of nontumor
pathology p481, Sliver spring, Maryland. 2005.
2
?1 HUS?????
Schistocyte ????
3
?2 HUS???????1(?????HE)
Hilus????????
????fragmented RBC
4
?3 HUS???????2(????????HE)
????????
????????????????????????
5
?4 HUS???????3(???????PAM)
????????remodeling??????????????
6
?5 HUS???????4(mesangiolysisPAM)
???
Mesangium???????aneurysma???? Mesagiolysis????(??
??????? mesangium????????????)
7
?6 TTP???????2(???PTAH)
??????????PTAH????????
8
?7 TTP???????2(glomeruloid lesionPAS)
???? ??????
Hilus?glomeruloid lesion ?????????????????myofibr
oblast smooth muscle cell?????????????????????HUS?
???? ????????arteriole?????????????
9
??

• HUS?TTP??????TMA(Thrombotic microangiopathy)
• ????????????????????????????
• ??????
• 2. ???????????????????????????????????????????????
  ??????????????(???????????????)?????????????mesang
  iolysis??????????
• 3. ?????????????remodeling????????????????????????
  ?