2011年血液系统笔记(3讲全)（Blood system notes (2011 3)）.docVIP

2011年血液系统笔记(3讲全)（Blood system notes (2011 3)） The seventeenth chapter: blood system (20 points) The teacher told seedlings in April 9th thirty-third: First section: anemia I. concept 1. anemia criteria: hemoglobin concentration (Hb) is lower than anemia Adult male Hb120g / L Adult female Hb110g / L Pregnant women Hb100g / L Memory: 2. anemia severity classification: remember moderate anemia Hb60 to 90g/L, mild than 90, severe less than 60, extremely severe less than 30. Two. Classification: 1., red cell synthesis is insufficient (1) stem cell deficiency disease: Aplastic Anemia (2) lack of synthetic raw material of red blood cell: the obstacle of hemoglobin synthesis: iron deficiency anemia Lack of B12, folic acid: extremely young and poor Globin synthesis disorder: Marine anemia (thalassemia) Causes of megaloblastic poverty: lack of synthetic red cells; 2., excessive destruction of red blood cells, typically hemolytic anemia Here is a special anemia, marine anemia (Mediterranean anemia), caused by abnormal globin synthesis. It not only damages too much red cells, but also lacks the synthesis of red blood cells. 3. acute hemorrhagic anemia, chronic anemia, such as digestion, morality, anemia, etc.; MCV (FL) positive cell 80~100; less than 80 small cell surnames. Greater than 100 large cells; MCHC (%): 32~35; less than 32 is low pigment; After subtotal gastrectomy leads to iron deficiency; Iron-deficiency anemia Iron metabolism 1. iron is two valence absorption, absorbed into the blood, later converted to trivalent, and then separated into two price for tissue utilization, synthesis of hemoglobin. To put it simply, two valence iron absorption, ferric transport, and two order iron are utilized. Iron is absorbed very well in an acid environment or Vc (Vc and iron). 2. the place where iron is absorbed by the body is the upper part of the duodenum and jejunum 3. iron stores are stored in two ways: iron protein and iron containing phenol Transferrin for iron transport; Tw