血液和造血系统.ppt

1、UNIT8 Hematological and Hemopoietic Systems cardiovascular response erythroid marrow response red blood cell oxygen delivery clinical features 词缀 h(a)emo-,h(a)emato- blood血 haemophlilus(嗜血杆菌属 ) hemodynamic(血液动力的 ) haemoglobin(血红蛋白 ) sero- serum血清 serological(血清学的 ) seropositive(血清阳性的 ) seroanaphylax

2、is(血清过敏反应 ) serrochrome(血清色素 ) lympho- lymph淋巴 lymphaden(淋巴结 ) lymphocyte(淋巴细胞 ) lymphoma(淋巴组织瘤 ) lymphadenitis(淋巴结炎 ) lymphatology(淋巴学 ) lymphoglanduct(淋巴管 ) bill-,cholo- bile胆汁 bilirubin(胆红素 ) biliary(胆汁、道、囊的 ) cholelithiasis(胆石病 ) biliffavin(胆黄素 ) biligenesis(胆汁生成 ) hidro-,sweat 汗 hidradenitis(汗腺

3、炎 ) hidradenoma(汗腺腺瘤 ) hidrorrhea(多汗 大汗 ) hidropoiesis(汗分泌 Immuno- immunity免疫 immunology(免疫学 ) immunohistochemistry(免疫组化 ) immunoglobulin(免疫球蛋白 ) immnunity(免疫力 ) Immunobiology(免疫生物学 ) immunocatalysis(免疫化学 ) muco- mucus黏液 mucoid(黏液样的 ) mucoprotein(黏蛋白 ) mococele(黏液囊肿 ) mucitis(黏膜炎 ) mucolipid(黏脂质 ) v

4、en- 静脉 venospasm(静脉痉挛 ) venoclysis(静脉输注 ) venosclerosis(静脉硬化 ) ex-出，离 ，在 之外 extravascular(血管外的 ) exania(脱肛 ) exsector(切除刀 ) reticul-网状组织 reticulocyte(网状细胞 ) reticuloendothelium(网状内皮细胞 ) -cyte cell细胞 macrocyte(巨红细胞 ) reticulocyte(网状细胞 ) Anemia specific classification iron deficiency anemia (缺铁性贫血 ) h

5、emorrhagic anemia (出血性贫血 ) hemolytic anemia(溶血性贫血 ) megaloblastic anemia (巨幼红细胞性血 ) aplastic anemia (再生障碍性贫血 ) 巨幼红细胞贫血 再生不良性贫血 营养性贫血 缺铁性贫血 megaloblastic anemia nonnutritive anemia regeneration maladaptive anemia iron deficiency anemia anemia pathological reason analysis Cardiovascular response Pain,

6、fever, or a vasovagal response Vasovagal syncope reactionto a painful injury anxiety initiated by acute blood loss symtoms and signs of blood volume losses in the adult percent lost(%) Volume lost(ml) symptoms signs 2000 anxious,reatless,often confused,may be short of breath hypovolemic shock,fall i

7、n supine bloodpressure,tachy cardic with cool,clammy skin Erythroid marrow response The capacity of marrow to respond depends on: the level of erythropoietin stimulation the presence of a normal complement of erythroid precursors in a normal marrow structure an aduquate supply of iron Erythropoietic

8、 response to acute hemorrhage 1-2 days after bleed 3-6 days after bleed 7-10 days after bleed marrow reticulocyte shift(polychrom asia) + + + + + + reticulocyte production index(times normal) 1 1-2 2-3 E/G ratio 1:3 1:1 1:1 Red blood cell oxygen delivery Bohr effect 波尔效应 PH value or H + CO2 concentr

9、ation and the changes in the differential pressure hemoglobin combined with oxygen ability, the influence of blood pH value reduced or pCO2 rise, make the affinity to reduce Hb O2, in any pO2 next Hb oxygen saturation all lowers oxygen from curve right shift, conversely, pH value rise or pCO2 decrea

10、se to increase the affinity of Hb O2, in any pO2 next Hb oxygen saturation increased, oxygen from curve moves left. PH against Hb oxygen acceptor this effect is called Bohr effect. hemoglobin-oxygen dissoiation curve Clinical features Severity of the bleed Rate and site of the bleed Capacity of the

11、patient to respond TCM syndrome differentiation of anemia Traditional Chinese medicine without anemia name, but the present from the clinical syndrome, such as pallor, body tired weakness, palpitations, shortness of breath, dizziness, spirit, depressed, pulse see fine like while similar to “hemopeni

12、a“, “Yin“ the disease. General but will anemia delimit “hemopenia“ or “virtual fatigue wu blood the category of“, and “virtual fatigue“ is viscera losses, the variety of chronic diseases caused by weak weakened the floorboard of. matter needs attention: (1) want reasonable diet nutrition, food must

13、be diversified, recipes wants wide, should not be junk food. (2) diet acrimony, cold to digest food. Peacetime can cooperate with tonic dietotherapy time body. (3) diet should rule, have abstemious, forbidden over-eating. (4) combining exertion, proper physical activity Homely blood food black bean（黑豆） carrot（胡萝卜） day lily（金针菜） spinach（菠菜） dried turnip（萝卜干） arillus longan (龙眼肉） thats all thanks Organization : Headman 031908605 朱凯媛 Crew 031908632 王雅韵 031908641房 扬