Lecture 09 Flashcards
出血英文
hemorrhage
accumulation of blood in tissue
hematoma
止血英文
hemostasis
hemostasis process
primary
1)vascular response
smooth muscle cells in vessel wall contract
endothelial cells stick together
2)platelet response
formation of platelet clug/ white thrombus
3)secondary
clot formation/ red thrombus
platelet plug formation
undamaged cell
NO& prostacyclin:
vasodilator& keep platelet from sticking to the vessel wall
damaged cell
1)von Willebrand factor: fix collagen& platelet more strongly
2)thrombin A2: help with consolidation of platelet plug
3)ADP& serotonin: vasocontrictor
word for “small red/ purple spot caused by bleeding into the skin due to capillaries and platelet and not functioning properly”
petechia
clotting process
step 3: fibrinogen convert to fibrin in presence of thrombin, form meshwork, blood clot
step 2: activation of thrombin from prothrombin by Ca, prothrombinase, also lead to activation of factor XIII, further cross link fibrin
intrinsic pathway: all things in plasma; extrinsic pathway: tissue facotrs released from damaged cell
clotting factor deficiency types
congenital:
hemophilia: factor VIII; deficiency in von Willebrand factor
acquired:
vitamin K deficiency, cofactor in synthesis of many clotting factor
clot retraction
thrombosthenin released by platelet
clot lysis
plasminogen
anticoagulant
natural: prostacycline& NO
artificial: coumarin& heparin
thrombolytic drug
tissue plasminogen activator& streptokinase