血液和造系统.pptVIP

UNIT8Hematological 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) seroanaphylaxis(血清过敏反应) serrochrome(血清色素) Anemia specific classification iron deficiency anemia (缺铁性贫血) hemorrhagic 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) Cardiovascular response Pain,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 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 response to acute hemorrhage Red blood cell oxygen delivery Bohr effect 波尔效应 PH value or H + CO2 concentration 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 decrease 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 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 hemopenia, Yin the disease. General but w