MindMap Gallery Blood System Diseases Chapter 1 General Introduction
Study of textbooks, mainly including blood wave system structure, Classification of blood system diseases, Diagnosis of blood system diseases, Treatment of blood system diseases, etc.
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The ice hockey schedule for the Milano Cortina 2026 Winter Olympics, featuring preliminary rounds, quarterfinals, and medal matches for both men's and women's tournaments from February 5–22. All game times are listed in Eastern Standard Time (EST).
Blood System Diseases Chapter 1 General Introduction
【Blood system structure】
1. Hematopoietic tissue and hematopoietic function
Mesodermal hematopoietic stage, liver and spleen hematopoietic stage and bone marrow hematopoietic stage.
From the 4th to 5th month of the fetus, the hematopoietic function of the liver and spleen gradually decreases, and the bone marrow, thymus and lymph nodes begin to undergo hematopoietic activity.
After puberty, the thymus gradually atrophies, and the lymph nodes produce lymphocytes and plasma cells.
2. Blood cell production and hematopoiesis regulation
Bone marrow hematopoietic stem cells (HSC)
Normal hematopoietic microenvironment and the existence of positive and negative hematopoietic regulatory factors
Microvasculature, neural components, reticular cells, matrix and other connective tissues
Positive regulatory factors that stimulate the proliferation of various progenitor cells, such as erythropoietin (EPO), colony-stimulating factor (CSF), and interleukin 3 (IL-3).
Negative regulatory factors of various systems, such as tumor necrosis factor-α (TNF-α) and interferon-γ (IFN-γ), etc.
[Classification of blood system diseases]
1. Red blood cell diseases
2. Granulocytic disease
3. Monocyte and macrophage diseases
Inflammatory histiocytosis, etc.
4. Lymphocyte and Plasma Cell Disorders
5. Hematopoietic stem cell diseases
Myeloproliferative neoplasms (MPNs)
Acute myeloid leukemia (AML)
Myelodysplastic Syndrome (MDS)
6. Hypersplenism
7. Hemorrhagic and thrombotic diseases
[Diagnosis of blood system diseases]
(1) Medical history collection
(2) Physical examination
(3) Laboratory examination
Correct blood cell count, hemoglobin determination, and blood smear cytomorphology
2. Reticulocyte count
3. Bone marrow examination and cytochemical staining
4. Bleeding disease testing
5. Hemolytic disease examination
Urinary occult blood (intravascular hemolysis); acid hemolysis test, sucrose hemolysis test (paroxysmal nocturnal hemoglobinuria); osmotic fragility test (hereditary spherocytosis); methemoglobin reduction test (red blood cell glucose-6-phosphate detoxification Hydrogenase deficiency); antiglobulin test (autoimmune hemolytic anemia)
6. Biochemical and immunological examinations
7. Cytogenetic and molecular biology examination
8. Hematopoietic cell culture and testing technology
9. Instrument inspection
10. Radionuclides
Determination of red blood cell lifespan or red blood cell destruction site, bone marrow imaging, lymphoma imaging, etc.
11. Histopathological examination
Lymph node biopsy is meaningful for the diagnosis of lymphoma and its differentiation from lymphadenitis and metastatic cancer.
Splenic biopsy is mainly used in diseases with significantly enlarged spleen;
Cytological examination of body fluids includes the examination of tumor cells (or leukemia cells) in pleural effusion, peritoneal effusion and cerebrospinal fluid, which is valuable for diagnosis, treatment and prognosis.
[Treatment of blood system diseases]
(1) General treatment
(2) Eliminate the cause of the disease
(3) Maintain normal blood components and functions
1. Supplement nutrients needed for hematopoiesis
In case of megaloblastic anemia, supplement folic acid and/or vitamin B₁₂ (Vit B₁₂)
2. Stimulate hematopoiesis
Application of androgens to stimulate hematopoiesis in chronic aplastic anemia
Granulocyte colony-stimulating factor is used to stimulate the release of neutrophils during granulocytopenia.
3. Splenectomy
4. Adoptive immunotherapy
Such as administration of interferon or donor lymphocyte infusion (DLI) after allogeneic hematopoietic stem cell transplantation.
5. Transfusion of blood components and use of antibiotics
(4) Remove abnormal blood components and inhibit abnormal functions
1. Chemotherapy
2. Radiotherapy
3. Induction of differentiation
All-trans retinoic acid (ATRA) and arsenic trioxide (ATO) can accelerate the apoptosis of abnormal promyelocytes or differentiate them into normal mature granulocytes by inducing differentiation.
4. Therapeutic apheresis
Treating MPNs, leukemia, etc.
5. Immunosuppression
Glucocorticoids, cyclosporine and antilymphoid/thymocyte globulin, etc.
6. Anticoagulation and thrombolytic therapy
(5) Targeted therapy
Tyrosine kinase inhibitors treat chronic myeloid leukemia (CML).
(6) Epigenetic inhibition
(7) Hematopoietic stem cell transplantation (HSCT)
(8) Cellular immunotherapy
[Progress and Prospects of Hematology]