MindMap Gallery blood
Summary of the chapter on Physiology of Blood in the Medical Postgraduate Entrance Examination, including an overview of blood physiology, blood cell physiology, physiological hemostasis, blood types and principles of blood transfusion, etc.
Edited at 2022-12-21 10:28:58This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
blood
Physiological hemostasis
basic process
vasoconstriction
Injurious stimulation reflexively induces vasoconstriction
Vascular wall damage causes myogenic contraction
Adhered platelets release 5-HT, TXA2
Platelet thrombus formation
A small amount of platelets aggregate in 1-2 seconds
Correct positioning to release endogenous ADP and TXA2
Form primary hemostasis
blood clotting
Secondary hemostasis (conversion of fibrinogen into insoluble fibrin)
Local fibrous tissue hyperplasia, permanent hemostasis
blood clotting
definition
The process by which blood changes from a flowing liquid state to an immobile gel state
clotting factor
14 kinds
FⅣCa2, the rest are proteins
2, 7, 9, 10, 11, 12 and prekallikrein are all serine proteases
3, 5, and 8 act as cofactors
All exist in plasma except III
2, 7, 9, and 10 rely on vitamin K (all contain gamma carboxyglutamic acid)
coagulation process
negative regulation
Anticoagulant effect of vascular endothelium
Inactivate activated coagulation factors
synthetic secretory tissue plasminogen activator
Fibrin adsorption
Physiological anticoagulant substances
serine protease inhibitor
Antithrombin, produced by liver and vascular endothelial cells
Protein C system
tissue factor pathway inhibitor
TFPI (does not prevent tissue factor from initiating the extrinsic coagulation pathway, and only regulates negative feedback when X reaches a certain level)
heparin
Enhance antithrombin activity and indirectly exert anticoagulant effect
Dissolution of fibrin
Blood type and blood transfusion principles
definition
The type of specific antigen on the red blood cell membrane, which is a polymorphic antigen controlled by germline genes
agglutination reaction
Nature
Antigen-antibody reaction
Agglutinogens (determined by antigenic determinants) – sugars (postnatal), peptides (prenatal)
Lectins (gamma-globulins, found in plasma)
ABO blood type
Types
Antigen - the sugar chain contained in the glycoprotein or glycolipid on the red blood cell membrane
Antibodies - natural (IgM), immune type (IgG)
chromosome 9
Identification - forward (anti-red), reverse stereotypes
Rh type system
chromosome 1
The specificity of the antigen depends on the amino acid sequence of the protein
Contains anti-D-positive (the antigen only exists on the red blood cell membrane)
Difference (ABO)
No natural antibodies against Rh exist
Characteristics of antibodies (mainly IgG)
HP (7%-8%)
Blood transfusion principle
① Blood type must be identified ② Repeated blood transfusions require attention ③ Cross-matching test - main donor (red) - recipient (clear)
prothrombinase complex
intrinsic coagulation pathway
First, f12 binds to the surface of the foreign body, activates 11, and starts internal coagulation.
12 is positive feedback activation, and defects in 8 and 9 can cause hemophilia.
Extrinsic coagulation pathway (main)
fibrin
fibrinogen
thrombin
prothrombin