儿科学课件（重庆医科大学）11Hemato and Anemia for St.pptVIP

BLOOD DISORDERS Dr.Jie Yu, MD. Professor The department of Pediatric, Hematology/Oncology Development of the Hematopoietic System Blood Cell Counts Dr.Jie Yu, MD. Professor The department of Pediatric, Hematology/Oncology Contents 1st class Development of hematopoietic system Characteristic of Blood cell counts and hemoglobin 2nd class Introduction of Anemia Development of Hematopoietic System In the embryo and fetus, constant changes characterize all phases of hematopoiesis （造血） hematopoiesis （造血） Development of Hematopoietic Organs Fetal hematopoiesis Mesoblastic Hematopoiesis Hepatic Hematopoiesis Myeloid Hematopoiesis Hematopoiesis after birth Development of Hematopoietic Organs Figure: hematopoiesis in yolk sac，18th hematopoiesis island Mesoblastic Hematopoiesis (中胚层造血） Development of Hematopoietic Organs Figure: 17weeks gestations ,erythroids are seen in Hepatic Hematopoiesis （肝脏造血） Development of Hematopoietic Organs Figure: Bone marrow in 19weeks gestations Myeloid hematopoiesis （骨髓造血） Development of Hematopoietic Organs Fetal Hematopoiesis liver Table 1. Fetal Hematopoiesis Development of Hematopoietic Organs Fetal hematopoiesis Hematopoiesis after birth Bone marrow hematopoiesis Extrmedullary hematopoiesis Development of Hematopoietic Organs Hematopoiesis after birth Bone marrow hematopoiesis 骨髓造血 All blood cells are produced in the marrow after 2nd trimester Newborn and early infancy: red marrow 5-7yr : yellow marrow Extramedullary hematopoiesis Development of Hematopoietic Organs ＱＡ：The aspiration sites for infant and adult？ The site for bone marrow aspiration: Newborn and early infancy — tibia(胫骨) After the infancy period — p