萝卜家园Chapter6Blood血液资料教程

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1、Chapter 6 Blood 血液,Section 1 Body Fluid and Blood (体液与血液) Body fluid(体液): Fluid of existing in body 人体内的液体 Intracellular fluid 40% Blood plasma(血浆) 4% Tissuefluid(组织液) 15% Extracellular fluid 20% Lymph (淋巴) 1% Cerebrospinal fluid (脑脊液),Body fluid,机体内环境,1. Components of blood (血液的基本组成),(1) Plasma (血浆

2、) Water 水 Substance crystal (晶体物质): inorganic phosphate (无机盐) 5320mmHg Substance colloid (胶体物质) Others 其它,Functions of plasma protein 血浆蛋白的功能:,Albumin(白蛋白): Forming colloid osmotic pressure (形成胶体渗透压) Globulin(球蛋白): Taking part in body immunity and transport of some substances (参与机体免疫和某些物质的运输) Fibrin

3、ogen(纤维蛋白原) : Taking part in clotting (参与凝血),Neural regulation神经调节 : Sympathetic nerve (+) 交感神经 (+) Humoral regulation体液调节: Erythropoietin ,EPO (促红细胞生成素 ) Accelerating system ahaemale progenitor of later period to differentiate and propagate. 促进晚期红系祖细胞的分化、增殖 Accelerating young RBC to differentiate a

4、nd propagate. 加速幼RBC增殖,分化,CFU-E 红系前体细胞red progenitor RBC,Blood oxygen partial pressure 血氧分压,肾 主 Kidney (main) 肝 次 Liver (secondary),Androgen雄性激素 Stimulating bone marrow, promoting RBC 直接刺激骨髓,促进RBC生成 Promoting kidney to produce EPO 促进肾脏产生EPO,Leukocyte, or white blood cell, WBC (白细胞) basophoil(嗜碱性颗粒细胞

5、)0-1% granular cell eosinophil(嗜酸性颗粒细胞)1-4% Leukocyte 颗粒细胞 neutrophil(嗜中性颗粒细胞)50-70% 白细胞 lymphocyte(淋巴细胞)20-40% no granular cell 无颗粒细胞 monocyte(单核细胞) 1-7% Quantity : 4-10 109/L,Function of basophil 嗜碱性粒细胞功能:, Releasing heparin stimulating decomposition of blood fat 释放肝素 激活血脂分解 Releasing histamine hy

6、persensitive response 释放组织胺 过敏反应 Releasing eosinophile chemotactic factor A,限制,(释放嗜酸性粒细胞趋化因子A),Function of eosinophil 嗜酸性粒细胞功能:, Restricting hypersensitive response caused by basophil and fat cells. (限制嗜碱性粒细胞和肥大细胞引起的过敏反应.) Taking part in immune response for worm. (参与对蠕虫的免疫反应.),Function of neutrophil

7、 中性粒细胞功能:, Englobing and killing bacteria (吞噬、杀灭细菌) Clearing away immunity complex and necrosis tissue (清除免疫复合物及坏死组织),Lymphocyte (淋巴细胞),T cell : Function of cell-mediated immunity 具有细胞免疫功能 Function of regulating other immunocyte 调节其他免疫细胞的功能 B cell :Taking part in humoral immunity. 参与体液免疫 NK cell :Ki

8、lling and wounding tumor cell. 杀伤肿瘤细胞,Mononuclear macrophage单核-巨噬细胞, Englobing and killing pathogenic microorganism in cell. (吞噬、消灭细胞内致病微生物) Releasing many kinds of cytotoxic, interferon(INF) , interleukin(IL) and taking part in body defense. (释放多种细胞毒、干扰素和白细胞介素,参与机体防卫机制) Producing factors of promoti

9、ng endothelial cell (内皮细胞)and smooth muscle cell. (产生促进内皮细胞和平滑肌细胞的因子),Platelet or thrombocyte (血小板),Quantity :100-300(109个/L) Function : Keeping vessel wall completeness. 维护血管壁完整性 Taking part in physiological hemostasis 参与生理止血(见后),Section 2 Function of blood 血液的机能,1.Function of carrying and integrat

10、ing (运载作用和联系作用) Water, Red blood cells, plasma protein,2.Keeping stability of internal environment (维持内环境的稳定) HL + Na HCO3 NaL + H2CO3 H2CO3 H2O + CO2 Stimulus respiration OH- + H2CO3 HCO3- + H2O,3. Function of defense and protection (防御和保护作用),neutrophil 中性粒细胞 Phagocytosis 吞噬作用 monocyte 单核细胞 cellula

11、r immunity 细胞免疫 T Immunity humoral immunity 体液免疫 B,Section 3 Blood volume, Blood Transfusion and Blood Groups 血量 输血 和血型,1.Blood volume (血量) Blood volume 血量:It is total of blood in body ,7-8% of body weight,Preserving blood volume 血量的维持: Less blood loss 少量失血, 20%, Clinical symptom (临床症状) The most blo

12、od loss 大失血 30%, Blood transfusion (输血),Recovery blood volume 血量的恢复: Water, saltplasma protein blood cell 水,盐血浆蛋白血细胞,2. Blood group (血型),Agglutination (红细胞凝集): It is the a bunch of irregular cell agglutinates which is agglutinated by Red blood cell.(红细胞彼此凝集成一簇簇不规则的细胞团.) Rouleaux formation (红细胞叠连): T

13、he red blood cells which are attach hollow side to each other overlapped to accelerate blood sank.(红细胞彼此以凹面相贴,重叠在一起使血沉加速.),Agglutinogen of red blood cells agglutinin of blood serum blood group 红细胞上的凝集原 血清中的凝集素 血型 A B A B A B AB AB AB O,3. Principle of blood transfusion (输血原则),Red blood cell Red bloo

14、d cell Blood donor Blood recipient 供血者 受血者 Blood serum血清 Blood serum血清 Cross-match test (交叉配血实验),主侧,次侧,Section4 Blood Coagulation and Fibrillarin Dissolution 血液凝固和纤维蛋白溶解,1. Hemostasis mechanism of small blood vessel impairment小血管损伤的生理止血机制,Hemostasis生理止血 : It is a kind of phenomena that small blood v

15、essel is impaired normally and after several minutes bleeding was stopped naturally. 正常时小血管损伤出血,经数分钟后出血自然停止的现象。 Process:Small blood vessel contraction小血管收缩 Platelet thrombus血小板血栓 hematopexis血凝 Fig 6-7,2. Blood coagulation (血液凝固),Blood coagulation (血液凝固) : It is a process that blood changes fluidity into solid agglomeration. 血液由液体状态变为不流动的胶冻状凝块的过程. Seru

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