1、Chapter 11 circulatory system1醫學PPTBasic anatomyHeart Blood vesselsLymphatic system2醫學PPTHeart anatomy3醫學PPTBlood vessels4醫學PPTLymphatic system5醫學PPTCommon roots and affixesHema/o-Sanguin-Phleb/o-Sphygm/o-peniaAngi/o-6醫學PPTHaem/o-,haema-,hem/o,hema-,hemat/o- bloodhemorrhage5hemEridV出血hemoagglutinin7

2、hi:mEuE5lu:tinin血紅素凝結素Hemobilia hi:mEu5biliE 膽道出血, 膽血癥,血膽癥 hemoclip血管夾 7醫學PPTsanguin- (L.sanguis) bloodsanguinivoroussANwi5nivErEs食血的,吸血的sanguinopoieticsANwninEupCi5etik生血的,造血的sanguinarin7sANwi5nZEri:n血根堿 8醫學PPTphleb/o- (Gr. Phleps) bleood vessel,veinphlebitisfli5baitis靜脈炎phlebalgiafli5bAldViE靜脈痛 ph

3、lebangioma7flibAndVi5EumE靜脈瘤9醫學PPTsphygm/o- (Gr.sphugms) pulsesphygmogram5sfimE7rAm脈搏描記,脈搏曲線Sphygmocardiograph7sfimE5kB:diEurB:f心動脈搏描記器sphygmometer 脈博計10醫學PPT-penia lack of, insufficiencyLymphocytopenia 7limfE7saitEu5pi:niE淋巴細胞減少(癥)Ant. lymphocytosisNeutropenia 7nju:trEu5pi:niE(嗜)中性白細胞減少(癥)thrombocy

4、topenia 7WrCmbEusaitEu5pi:niE血小板減少(癥)11醫學PPTangi/o- vesselangioataxian5t 血管緊張失調angiosarcoma9AndVIEJsB:kEJmE血管肉瘤angioplasty5AndVIEJ7plAsti血管成形術12醫學PPTconditionsAneurysmArrhythmiaBleeding DisordersBacteremia and sepsisHodgkins DiseasePulmonary hypertensionThalassemiaThrombophlebitisVaricose Veins13醫學P

5、PTAneurysmCerebral aneurysmAortic aneurysmabdominal aneurysm Thoracic aneurysmVentrical aneurysm 14醫學PPTArrhythmia ITachycardiaAtrial fibrillation心房顫動Atrial flutter心房撲動Supraventricular tachycardia（SVT）室上性心動過速Wolff-Parkinson-White syndrome (WPW)吾-巴-懷三氏綜合征/pre-excitation syndrome (預激綜合征 )Ventricular f

6、ibrillation心室顫動Ventricular tachycardia室性心動過速Long QT syndromeQT間期延長綜合征15醫學PPTArrhythmia IIBradycardiaSick sinus syndrome病態竇房結綜合癥Conduction block 傳導阻滯 (atrioventricular conduction block 房室傳導阻滯 )Premature heartbeat早博16醫學PPTBleeding disordersPT (Prothrombin Time)凝血酶原時間 (11-15s)ACT (activated clotting ti

7、me)活化凝血時間aPTT/PTT (activated partial thromboplastin time)活化部分凝血激酶時間 (37s)coagulation factors 凝血因子platelet count血小板計數17醫學PPTBacteremia and SepsisBacteremia 7bAktE5ri:miE菌血癥the presence of bacteria in the bloodstream; Sepsis 5sepsis膿毒病, 膿血癥a bacterial infection in the bloodstream. 18醫學PPTHodgkins Dise

8、aseHodgkins disease, sometimes called Hodgkins lymphoma, is a cancer that starts in lymphatic tissue, including the lymph nodes and related organs that are part of the bodys immune and blood-forming systems. Its named after Dr. Thomas Hodgkin who first recognized it in 1832. The cancer cells in Hodg

9、kins disease are called Reed-Sternberg cells, after the two doctors who first described them in detail. Hodgkins disease is a malignant lymphoma. There is no benign (noncancerous) form of Hodgkins disease. 19醫學PPTThalassemialE5si:miE珠蛋白生成障礙性貧血,地中海貧血,庫利氏貧血an inherited disorder sometimes called Medite

10、rranean anemia, von Jaksch anemia or Cooleys anemia, named after the physicians who first diagnosed it 20醫學PPTThrombophlebitis7WrCmbEufli5baitis血栓(性)靜脈炎inflammation due to a blood clot occurs in a vein, usually occurs in the veins of the legs 21醫學PPTVaricose veinsgnarled, enlarged, thus visible vein

11、s mostly occurring in the legs and feet, which may be caused by incompetent valves within the veins. The word varicose comes from the Latin root varix, which means twisted.22醫學PPTA Quiz before we move onMatch each specific disease in column B with its type in column A. Column A Column BHeart valves

12、diseasestrokeCoronary diseasehemophthalmia Bleeding disorderhemophiliaCerebrovascular diseasenodular sclerosis Lymphatic diseasethrombophlebitisInflammationsaortic stenosisHemorrhagesmitral insufficiency 23醫學PPTTests Blood test seriesAngiographyABIDuplex ultrasound24醫學PPTBlood test seriesCardiovascu

13、lar Risk Profiletotal cholesterolHDL cholesterol LDL cholesterol triglycerides cholesterol/HDL ratio glucose25醫學PPTBlood test seriesLiver Function: AST天冬氨酸轉氨酶ALT丙氨酸轉氨酶LDH乳酸脫氫酶total bilirubinalkaline phosphatase GTP谷氨酰轉肽酶26醫學PPTBlood test seriesBlood Protein Levels: AlbuminGlobulinAlbumin/globulin ra

14、tio 27醫學PPTBlood test seriesKidney Function BUN (blood urea nitrogen)血尿素氮Creatinine肌酐Uric acid28醫學PPTBlood test seriesComplete Blood Count (CBC) red blood cell count white blood cell count mean corpuscular volume (MCV)平均紅細胞容積mean corpuscular hemoglobin (MCH)紅細胞平均血紅蛋白量mean corpuscular hemoglobin conc

15、entration (MCHC)紅細胞平均血紅蛋白濃度hemoglobin hematocrit血細胞比容platelet count basophils eosinophils neutrophilslymphocytes monocytes 29醫學PPTAngiography血管造影術The radiographic visualization of blood vessels following introduction of contrast material, or through CT scanning or MRI Catheter angiographyCT angiogra

16、phyMRA Magnetic Resonance Angiography30醫學PPTCatheter Angiography31醫學PPTCT angiographyComputerized tomography scanning, also called CT or CAT scanning, is a test that uses x-rays and computers to create detailed images of the internal structures of the body. 32醫學PPTMagnetic Resonance AngiographyWhen

17、MRI is applied to the blood vessels, it is also sometimes referred to as MRA (magnetic resonance angiography). 33醫學PPTAnkle-brachial index (ABI)臂-踝指數Measurement and comparison of the blood pressure in the ankle and in the arm 34醫學PPTDuplex Ultrasound雙功能超聲儀 Duplex ultrasound combines Doppler and conv

18、entional ultrasound to allow physicians to see the structure of the blood vessels. Duplex ultrasound shows how blood is flowing through the vessels and measures the speed of the flow of blood.35醫學PPTTreatmentsThrombolytic TherapyVenous AccessSurgical BypassSurgical Aneurysm RepairFoot CareEndovascul

19、ar StentingEndarterectomy36醫學PPTThrombolytic therapyThrombolytic therapy is a treatment used to break up dangerous clots inside the blood vessels by injecting clot-dissolving medications into a blood vessel. ischemic stroke Pulmonary embolismDVT (deep vein thrombolism / thrombosis）37醫學PPT38醫學PPTVeno

20、us Access靜脈通道Venous access allows the physician to deliver medicine directly into the bloodstream without repeatedly puncturing blood vessels. In venous access, a long, thin tube, called a catheter, acts as a kind of artificial vein. One end of the catheter is placed in a vein in the arm, neck, or c

21、hest. The other end exits the body so that the physician can deliver medicine. This end may be connected to a circular device called a port under the surface of the skin. 39醫學PPT40醫學PPTSurgical BypassSurgical bypass treats the narrowed arteries by creating a bypass around a section of the artery tha

22、t is blocked. 41醫學PPTSurgical Aneurysm RepairIn surgical aneurysm repair, the vascular surgeon repairs or removes an aneurysm through an incision in the skin 42醫學PPTFoot Care Foot care is important if patients have leg artery disease (peripheral arterial disease or PAD). In PAD, the blood vessels in the limbs become blocked because of hardening of the arteries. 43醫學PPTEndovascular Stent Graft a fabric tube that reinforces a weak spot in a blood vessel, such as an aneurysm typically used to treat abdominal aorti