执医记忆（Medical memory）.docVIP

执医记忆（Medical memory） Physiology Factors affecting oxygen dissociation curve Convert the pH value to [H+] to remember: [H+], pCO2, temperature, 2, 3-DPG rise, The oxygen dissociation curve is shifted to the right. Ventilation / blood flow ratio memory The blood River into the alveolar oxygen - red blood cells in human ship ventilation / perfusion ratio increased when the manned - oxygen, blood flow is relatively small, called: the water ship less to ferry them out is to say the boat people (oxygen), water (blood) dry the ship (RBC), can all reach the destination, cannot perform normal physiological function, such as pulmonary circulatory disorder. The ratio of ventilation to blood flow decreases - that means insufficient ventilation and more blood flow, which means: water rises, ships are large, people are few, ships are empty.. Similarly, the normal physiological functions can not be observed, such as lobar pneumonia, pulmonary consolidation, etc.. Microcirculation characteristics: Low, slow, big, change; Factors affecting venous reflux: Blood volume, body position, three pumps (heart, breathing, skeletal muscles); General characteristics of hormones: No tube, target, little quantity and high efficiency; Effects of glucocorticoids on metabolism: Add sugar, remove eggs and remove fat; Physiological function of aldosterone: Sodium retention, water retention, potassium discharge and so on. Autonomic nerve regulation of visceral function Sympathetic excitation, rapid heartbeat, blood pressure rising, sweat dripping, Dilation of the pupil, retention of urine, and suppression of gastrointestinal motility; Secondary excitation, slow heartbeat, narrow bronchial gland secretion, The pupil shrinks, the stomach moves, and also relaxes the sphincter Characteristics and mechanisms of electrical activity in ventricular myocytes 01234, sodium, potassium, calcium, potassium, original, internal and external pump Interpretation: ventricular action potential is divided into five phase