呼吸内科三基（Department of respiratory medicine three）.docVIP

呼吸内科三基（Department of respiratory medicine three） Chapter 1 Respiratory Medicine Reference answer Noun interpretation 1. respiratory membrane: respiratory membrane refers to the alveolar and blood molecules between the gas exchange through the structure, also known as gas blood barrier, It is composed of the following structures: (1) the liquid layer on the alveolar surface; the alveolar epithelial cell and its basement membrane; and the superficial connective tissue Capillary basement membrane and endothelium. 2. pulmonary stretch reflex: the reflex of inspiratory suppression or excitation caused by dilatation of the lung or contraction of the lung is a primary reflex (Hering Breuer, reflex) or pulmonary stretch reflex. It has two components: the pulmonary distension reflex and the lung narrowing reflex. 3. oxygen dissociation curve: the oxygen dissociation curve or the hemoglobin dissociation curve is a P02 or Hb oxygen binding capacity or Hb oxygen saturation Curve of degree relation. This curve represents the combination of Oz and Hb when different P02 is used. The curve is S, due to Hb Allosteric effect. The S shape of the curve has important physiological significance. 4. arterial oxygen partial pressure (PaOz): the pressure produced by the physically dissolved oxygen molecules in the blood. The normal range is 12.6 ~ The primary clinical significance of 13.3 kPa (95~100 mmHg) is to determine whether there is hypoxia and its extent. 5. arterial oxygen saturation (SaOz): the degree to which arterial blood oxygen is bound to Hb, that is, the percentage of oxygen in the unit Hb The range ranged from 95% to 98%. 6.pH value: indicating the concentration of hydrogen ion in body fluid, [H+] index or pH value, the normal range is from 7.35 to 7.45. 7. pulmonary encephalopathy: due to chronic pulmonary chest disease, accompanied by respiratory failure, hypoxemia, hypercapnia caused A group of syndromes of mental disorders and neurological symptoms. 8. chronic bronchitis