Sc chn thng thc nghim bnh nguyn bnh sinh

phng php thc nghim

Sc chn thng thc nghim - Bnh nguyn bnh sinh
phng php thc nghim
1.Th nghim chng minh
Th nghim 1: tim tinh cht c vo tnh mch tai th chng minh
nguyn nhn c
cht c.
Lc u huyt p gim nhng sau tng li. iu ny ngc vi
biu hin ca sc
chn thng.
Nhn xt: tinh cht c khng phi nguyn nhn gy sc
Th nghim 2: tim liu cht strychnine
Kt qu: con th A b tim vo tnh mch cht trc, con th B b
tim vo dp nt
khng thy biu hin.
Nhn xt: dp nt c to ra c cht (TN1 chng t) nhng n b
khu tr li, do ,
dp nt khng phi l nguyn nhn chnh gy sc chn thng
Th nghim 3: kch thch au n thun chng minh nguyn nhn
au.
Kt qu: con vt c biu hin ging nh trong sc chn thng, mc
d biu hin c
chm hn (do thiu cc yu t kt hp nh dp nt)
Kt lun: au l nguyn nhn chnh gy sc trong chn thng
2. Gii thch:
Sc gm 2 giai on: sc cng (thn kinh hng phn, tng hot
ng ca cc c quan sinh tn) v sc nhc (h thn kinh c ch
km suy gim chc nng nghim trng ca cc c quan). Cc biu
hin lm sng ging cc biu hin ca sc thc nghim trnch.
-Giai on 1(sc cng): khi ta dng v 700g p vo m mm i
ch, kch thch
au truyn v trung khu thn kinh di vo, trung khu thn kinh di
v se:
+ Kch thch vng vn ng lm con vt giy dua.
+ Kch thch trung tm di v, trung tm di v kch thch trung

tm h hp v trung
tm vn mch Trung tm vn mch kch thch tuy thng thn
tng tit Adrenalin gy co mch ngoi vi, tim tng nhp v tng sc
co bp lm huyt p v mch tng,
-Giai on 2 (sc nhc): khi ta tip tuc kch thch, Adrenalin tit ra
cng nhiu lm
mch mu ngoi vi cng co dn n cc c quan t chc thiu mu
nui =>thiu oxy.
Ti cc c quan de chuyn ho theo con ng ym kh sinh ra
a.lacitc lm toan ho
mi trng dn n hin tng km p ng vi Adrenalin ca c
vong trc v sau
mao mch nn mu t qua mao mch vo tnh mch. Trong khi ,
cc van tnh mch yu( do thiu mu nui) nn kh nng y mu
v tim gim dn n mu cc mao
mch, tnh mch do lm gim cung lng tim dn n gim ti
mu nui cc c
quan, cc c quan ri vo trng thi c ch, mch, huyt p gim

Bi 5 Sc mt mu
1. khi mt 10% mu: th tch tun hon gim nh lm gim p
quai m ch v xoang m cnh, kch thch p cm thu quan=>kch
thch ln thn kinh trung ng gy ra phn x lm tng nhp tim v
tng tit adrenalin gy co mch ngoi bin. Tt c dn
n s bin i sau y:
- tn s mch tng do tng nhp tim
- gim th tch tun hon (lm gim HA) nhng c b tr l co mch
v tng nhp tim (lm tng HA) do huyt p khng thay i.
- gim bi niu l do gim dong mu n thn gy ra bi gim th
tch tun hon.
2. khi mt 40% mu: khi th tch mu gim mnh, c th lp tc huy
ng cc c ch b tr, c bit l tng tit mnh adrenalin tng
co mch ngoi bin dn mu
v nui cc c quan quan trng (tim, no). Tt c gy ra cc bin i
sau:

- mch nhanh (do tng nhp tim) nhng nh kh bt (do gim th

tch tun hon).
- HA gim: do gim nghim trng th tch tun hon nn adrenalin
khng b tr ni.
- H hp tng do tng chuyn ha nhng li l chuyn ha ym kh
do mch ca cc c quan b co ton b di tc dung ca adrenalin,
trung tm h hp b kch thch do oxy m gim
- V niu: do HA gim mnh, Angiotensin II, adosterol,ADH
Chi lnh: do co mch ngoi bin
Bn cnh s b tr ca adrenalin con c s tham gia ca h thng
renin agiotensin
aldosterol.
3. truyn tr mu: cc ch tiu tr v bnh thng do hi phuc li th
tch tun hon.

BI 3 Ri Loan Chuyn Ho Mui Nc

1.gii thch:
Th Nghim 1:
- ch A: khi tim 2ml dung dch u trng NaCl 20% vo ti cng
bch huyt, dch se theo mch bch huyt vo h tun hon
mu, lm tng p sut thm thu ca
huyt tng. Do , nc b ko t khong gian bo vo long mch,
khong gian bo th ko nc t trong t bo cn bng p sut
thm thu v lm cho t bo mt nc. khi t bo b mt nc se
kch thch trung tm kht vng h i lm con ch kht, ung
nhiu nc nn tng trng lng.
- ch B: khi tim 2ml dd ng trng NaCl 6,5% th khng lm thay
i p sut thm thu ca ch B. Trng lng ch tng thm c le
do ch ung nc khi kht, trng lng cng c th gim do ch tiu
ra, nhng thay i khng nhiu.
- ch C: khi ngm con ch C vo dd mui u trng NaCl 20%, lp
nhy ngoi da ca ch c bn cht l protein b bin tnh bi dung
dch mui nng cao(xem thm s bin tnh ca protein bi
acid,baze, dd mui). Khng con tc dung ngn cn nc qua li qua
da. Mt khc do mi trng bn ngoi u trng hn, p sut thm
thu cao hn, nn nc b ko t trong c th ch (bao gm dch ni
v ngoi bo) ra ngoi cn bng p sut thm thu. hin tng

mt dch l nguyn nhn chnh gy ra cc biu hin nh trn. Da

sm do da co li lm tng mt sc t, mch mu ni ro do gim
lu lng tun hon, co mch , trong khi lng dch gian bo v
trong t bo ngoi da gn nh b ht ht lm ni ro mch mu.
Th nghim 2:
S dch chuyn nc gia trong v ngoi long mch l ch yu l do
cn bng gia p lc thy tnh c xu hng y nc ra ngoi v p
lc keo ko nc t ngoi vo (coi p sut y dch vo long mch
khng ng k).
Do , theo cn bng Starling, nc ra khi ng mch u ng
mch ca mao
mch v i vo u tnh mch ca mao mch. Ngoi ra, khong
10% nc gian bo
se tr vo h thng mch mu theo ng bch huyt, khi ta buc
cht chn ch D, C
3 nguyn nhn lm xut hin cc triu chng trn ch D:
1.Tng p lc thy tnh c mao TM,M (t mao TM n mao M do
mao m vn tip tuc nhn mu t cc m nh, st xng; con mao
tm th b tr mu do b bt tt).
2. Tng tnh thm thnh mch. y l h qu ca con ng chuyn
ha ym kh, gy nhim toan v cc cht trung gian lm co t bo
ni m thnh mch.
3. Tt mch bch huyt: l nguyn nhn phu gp phn lm ph
trm trng hn.
Th nghim 3:
Do Albumin b loi b cng vi huyt tng nn lm gim p lc keo
trong long mch lm tng thot nc mao m v gim hp thu
mao tm. Do , nc se thot ra gian bo v dch cc khoang
nh khoang mng bung, mng tim v mng phigiai on u se
l dch thm, c vim th se l dch tit.

Bi 4 Ri loan h hp
1. Th nghim 1: chng minh nh nh hng ca thn kinh, th
dch v thnh phn
khng kh th i vi h hp.
- th 1: chun b - ly ch tiu trc TN
+ h hp: th u

+ da nim: hng ho
- th 2: ngi NH3 m c chng minh nh hng ca thn kinh
a/ ngi NH3 m c:
- quan st: con vt ngng th trong chc lt ri th tr li
Gii thch: mi cay nng ca NH3 kch thch ln nim mc khu 2
bn cch mi th, ho tan vo lp nim dch ri gng ln receptor,
dn truyn v v no phn thch mi, v no c ch trung tm h
hp hnh no nn con vt ngng th.
b/ gy t nim mc mi ri cho ngi NH3 :
- quan st: h hp vn bnh thng, khng c bin i.
Gii thch: do t bo khu gic b t lit nn khng c tn hiu truyn
v v no. Do khng c s c ch ca v no ln trung tm h
hp nn h hp khng thay i.
- th 3: chng minh vai tro ca th dch (tnh trng nhim toan
kim)
a/ tim axit lactid:
- quan st: con vt tng th ri sau tr v bnh thng
- Gii thch: khi tim axit lactid vo TM ra tai th gy nn tnh
trng nhim toan cho th (ging nhim toan do chuyn ha). Nng
H+ cao trong mu kch thch TT h hp gy tng th. Tuy nhin,
nng H+ nhanh chng tr v bnh thng do vai tro ca:
H m bicacbonat: : H+ + HCO3- <---> H2CO3 CO2 + H2O
Phi: tng thi CO2
Thn: tng thi H+ v tng ti hp thu HCO3- .
Kt qu: pH v h hp tr v bnh thng.
b/ tim NaHCO3:
- quan st: con vt gim th ri sau tr v bnh thng.
- Gii thch: khi tim NaHCO3 vo tnh mch ra tai th se lm tng
PH mu do
NaHCO3 c tnh cht ca 1 bazo.
Nng H+ gim lm mt ngun kch thch TT h hp nn h hp
gim. Tuy nhin,
nng H+ nhanh chng tr v bnh thng nh vai tro ca:
H m bicacbonat: khng c vai tro trong b tr pH (v h m
gip cung cp HCO3- m trong TH ny HCO3- lm nguyn nhn gy
kim mu)

Phi: gim th tng CO2 mu =>tng H+, gim pH.

Thn: tng ti hp thu H+ v gim ti hp thu HCO3- ..
Kt qu: pH v h hp tr v bnh thng
-th 4: gy ngt thc nghim chng minh nh hng ca tp khng
kh th.
Quan st:
+ lc cha gy ngt: h hp bnh thng, HA = 80, da nim hng, tri
gic tnh to.
+ khi gy ngt, con vt tri qua 3 giai on:
1/ giai on hng phn: con vt tng th th ht vo ri sau tng
c hai th ht v
th, HA=110, da nim hng nht, dy dua.
2/ giai on c ch: h hp gim c bin v tn s, HA=60, da
nim trng nht, l
m, co git ton thn, tiu tiu khng t ch.
3/ giai on suy sup ton thn: ngng th, c nht th ngp c, HA
= 0, nim mc
trng bch, hn m.
Gii thch:
1/ G hng phn: khi b ngt, oxi mu gim kch thch TT ht vo lm
tng th ht vo. Sau , nng CO2 mu tng kch thch TT th ra
trong khi TT ht vo vn ang hng phn. do , h hp tng c 2
th. TT vn mch cng b kch thch v lm co mch nn ta thy
nim mch hi nht v HA tng.
2/ G c ch: s gim nghim trng ca oxi mu lm no b tn
thng nn: - TT vn
mch b t lit + dn mch do sn phm chuyn ha ym kh lm
gim HA
- con vt l m, tiu tiu khng t ch (do gin c tht hu mn &
bng quang)
-da nim trng bch do mu tp trung vo cc c quan quan trng
(tim & no)
3/ G suy sup ton thn: con vt gn nh t vong, c nht th ngp
c l do TT h hp phu hng phn vi tnh trng thiu oxy qu lu.
I.th nghim 2: minh ha c ch ph phi cp.
quan st: lc u nghe c ran n th ht vo, sau nghe c
ran m c 2 th.

n lc khng nghe c m phi th c bt hng tro ra.

- m ch thy 2 l phi ph n, xung huyt. y phi tn thng
nhiu hn nh phi.
gii thch: AgNO3 0,5% l cht oxy ho mnh, ti cc mao mch
phi c nng oxy
cao, AgNO3 se oxy ho, lm tn thng mao mch phi lm thot
huyt tng ra
khong ke, Sau dch trn vo long ph nang v ln ph qun v
bt hng tro ra do
c ln mu. y phi c nhiu mch mu hn nn tn thng
nghim trng hn nh
phi.
*********
MT S CU HOI N TP
CHN NG () HOC SAI (S):
BI 1: SC MT MU
1.sc mt mu l do gim th tch trong c th. M hnh c thc
hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
truyn tr mu.
3.biu hin ca mt mu 10% lng mu l mch tng, h hp
gim, huyt p gim, thiu niu.
4.biu hin ca mt mu 40% l mch nhanh nh kh bt, kh th,
huyt p
gim, v niu.
5.biu hin mt mu 10% tng ng vi giai on sc cng.
6.Khi mt 10% mu, Adrenaline lm co tiu ng mch i.
7.biu hin ca ch tiu nc tiu khi mt 10% mu: tng >> gim
>> bnh
thng.
8.biu hin ca ch tiu huyt p khi mt mu 10%: tng >> gim
>> bnh
thng.
9.biu hin ca ch tiu nc tiu sau khi truyn mu: s git tng
vt sau tr
v bnh thng.
10.khi mt mu Angiotensin II c tit ra vi tc dung co mch.
CHN CU NG () SAI (S):

1.Bnh nguyn gy sc trong bi sc chn thng thc nghim l:

v 700g
2.Bnh sinh ca sc chn thng thc nghim gm 3 giai on: sc
cng, sc
nhc, suy sup.
3.Phng php thc nghim ca sc chn thng thc nghim gm
3 bc.
4.Giai on u ca sc chn thng thc nghim cc ch tiu iu
tng gi l
giai on sc cng.
5.Giai on sau ca sc chn thng thc nghim cc ch tiu tng
gi l giai
on sc nhc.
6.Th nghim 1 ( tc dung ca tnh cht c) huyt p ca th c
biu hin: tng
>> gim >> bnh thng.
7.Th ngim 2 ( tim liu cht Strychnine) th B cht trc th A.
8.C ch chnh gy sc chn thng thc nghim l au (thn kinh)
9. Th nghim 3 ( kch thch au n thun) chng minh cho gi
thuyt v tun hon.
10. Yu t gp phn thc y trong c ch sc chn thng thc
nghim l c
cht t p.
SLB MD TRM 1
CHN CU NG () HOC SAI (S)
1.
2.Sc mt mu thc nghim c thc hin trn ch.
M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm
40% lng mu v tr mu.
3.Biu hin giai on mt mu 10% l mch tng, h hp gim,
huyt p gim,
thiu niu.
4.Biu hin giai on mt mu 40% l mch nhanh nh kh bt, kh
th, huyt p
gim, v niu.
5. tin hnh thc nghim th ch phi c gy m.
6. Khi mt mu 10% Adrenaline ni sinh lm co tiu ng mch i.

7. Biu hin ca ch tiu nc tiu khi mt mu 10%: tng >> gim

>> bnh
thng.
8. Biu hin ca ch tiu huyt p khi mt mu 10% : tng >> gim
>> bnh
thng.
9. Biu hin ca ch tiu nc tiu sau khi truyn mu: s git tng
vt sau tr
v bnh thng.
SLB MD TRM 2:
CHN CU NG () HOC SAI (S):
1.Muc ch ca giai on truyn mu l thy c kh nng hi
phuc ca c
th.
2.Giai on mt mu 10% nc tiu gim l do gim p lc lc ca
cu thn v
tc dung ca Adrenaline.
3.Giai on mt mu 40% v niu l do p lc lc cu thn bng 0.
4.Giai on mt mu 10% c th c kh nng phuc hi.
5.iu tr u tin hang u ca sc mt mu l truyn tr mu.
6.Muc ch rt mu nhiu giai on l thy c cc giai on
ca sc.
7.Giai on mt mu 10% gi l giai on sc nhc.
8.Giai on mt mu 40% gi l giai on sc cng.
9.C th b tr khi mt 10% bng cch kch thch cc p cm thu
quan to
catecholamin

THI THC TP IU DNG K32

SINH VIN CHN CU NG () HOC SAI (S)
BI 1: SC MT MU
1. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm
40% lng mu v truyn mu bng ng tnh mch.
2. Muc ch ca giai on truyn tr mu l thy c kh nng
hi phuc ca
c th khi truyn mu ng cc ch tiu (mch, HA, h hp, nc

tiu) khi mt mu 10%: gim=> tng.

3.Cc ch tiu khi mt mu 40%: mch u, ro, mnh; HA gim; h
hp u, th su.
4.C th b tr bng cch kch thch to catecholamin.
5. Epinephrin c tc dung kch thch cng giao cm lm co mch
ngoi bin, tng sc co bp.
6.Mt mu 40% p cm thu quan khng b kch thch nn khng tit
adrenalin dn
n sc.
7.Cng thc tnh tng lng mu ca c th = 1/12*P (kg)
8.Khi c th mt mu, phc hp cn cu thn b kch thch v kch
hot h Renin Angiotensin.
9. Muc ch rt mu nhiu giai on l thy c cc giai on
ca sc.
1.Sc chn thng thc nghim c thc hin trn th.
2. Strychnine s dung trong m hnh sc chn thng thc nghim
nh l mt cht c i vi ch.
3.Thi gian tc dung ca Lobeline tng sau th nghim c ngha l
tc tun
hon trong th nghim tng.
4.Mc tng huyt p sau khi tim adrenalin ln 2 thp hn so vi
trc th
nghim chng t kh nng vn mch ca c th ch sau th nghim
gim.
5.Trong m hnh sc chn thng thc nghim, c cht t c th
dp nt c th
l nguyn nhn gy sc cho ch.
6.Qu trnh bnh sinh ca sc chn thng trn ch din ra 2 giai
on: sc cng v sc nhc.
7.Biu hin ca cc giai on trong sc cng; mch nhanh nh kh
bt, th nhanh su, huyt p gim.
8. au chnh l nguyn nhn dn n sc chn thng thc nghim
trn ch.
9. Trong sc chn thng, khi c vong xon bnh l xut hin, thi
x tr ca thy thuc cho vic ct t vong xon bnh l hn l x
tr nguyn nhn.
1. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm

40% lng mu v truyn mu bng ng tnh mch.

2. Muc ch ca giai on truyn tr mu l thy c kh nng
hi phuc ca
c th khi ch ng cc ch tiu (mch, HA, h hp, nc tiu) khi
mt mu 10%: gim tng.
3.Mt mu thc nghim c thc hin trn ch v th.
4.Cc ch tiu cn ly trn m hnh sc mt mu thc nghim: mch,
huyt p, h hp, nc tiu, ton trng.
5. tin hnh sc mt mu thc nghim th ch phi c gy m.
6.Giai on mt mu 10% nc tiu gim l do gim p lc lc cu
thn.
7.Giai on mt 40% v niu l do p lc lc cu thn bng 0.
8.Giai on mt mu 10% c th c kh nng phuc hi.
9.Biu hin giai on mt mu 10% l mch tng, h hp gim,
huyt p gim, thiu niu.
BI 3: RI LON H HP
1. gy nhim toan, tim 2ml acid lactid nng 10% vo tnh
mch ra tai th.
2. gy nhim kim, tim 2ml NaHCO3 nng 10% vo tnh
mch ra tai th.
3.Biu hin ca nhim toan th l h hp tng c bin ln tn s.
4.Biu hin nhim kim ca th l h hp giai on u tng, giai
on sau gim
5.Gy ngt thc nghim bng cch kp kh qun th.
6.Biu hin ca ngt thc nghim tri qua 3 giai on: hng phn,
c ch, suy sup hon ton
7.Ph phi cp thc nghim c thc hin trn th.
8.Nhng biu hin ca ph phi cp thc nghim l kh th, huyt
p gim v tro bt hng.
9.Biu hin th ngp c gp trong m hnh ngt thc nghim.
BI 1: SC MT MU
1. Sc mt mu din tin theo 2 giai on.
Giai on mt 10% c th khng con kh nng phuc hi.
Tin hnh mt mu 40% bng cch ly thm 40% mu.
Cng thc tnh tng lng mu trong c th V= 1/12 x P Ch c
c nh v khng gy m. Biu hin ca mt 40% mu: mch nhanh

nh kh bt, huyt p tang, thiu niu, kh th.

2.iu tr ch o ca sc mt mu l truyn mu.
3.Biu hin ca mt 10% mu: mch tng , huyt p tng, ch th
nhanh su.
4. M hnh th nghim c tin hnh trn th v ch.
5. Cc ch tiu cn ly trn m hnh l mch, huyt p, h hp, nc
tiu, ton trng.
SINH VIN CHN CU NG HOC SAI:
BI 2: SC MT MU
1.M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm
40% lng mu v tru mu bng ng tnh mch.
2.Muc ch ca giai on truyn tr mu l thy c kh nng
hi phuc cac th khi ng cc ch tiu (mch, HA, h hp, nc
tiu) khi mt mu 10%: gim
tng
3.Cc ch tiu khi mt mu 40%: mch u ro mnh, HA gim, h
hp u th su
4.
5.C th b tr bng cch kch thch to Catecholamin Epinephrine
c tc dung kch thch cng giao cm lm co mch ngoi bin, tng
sc co bp.
6.Mt mu 40% p cm thu quan khng b kch thch nn khng tit
adrenaline
dn n s
7.Cng thc tnh tng lng mu ca c th = 1/12 x P(kg)
8. Khi c th mt mu phc hp cnh cu thn b kch thch v hot
h ReninAngiotensin
9. Muc ch rt mu nhiu giai on l thy c cc giai on
ca sc.
10.Chn cu ng nht:
1. Giai on u ca sc chn thng thc nghim:
a. Mch tng , h hp nhanh su, huyt p tut , ch ku la giy giua
b. Mch nhanh nh, kh bt, h hp nhanh nng, huyt p tng
c. Mch nhanh, mnh, h hp nhanh su, huyt p tng
d. Mch nhanh mnh, h hp nhanh nng, kh th huyt p tng
2. Giai on sau ca sc chn thng thc nghim:
a. Mch nhanh nh kh bt, kh th, huyt p tng.

b. Mch gim, kh th, huyt p gim

c. Mch tng mnh, gim th, huyt p gim.
d. Mch nhanh nh, kh bt, kh th, h hp nhanh nng, huyt p
gim.
3. Kt qu khi m bung ch
a. Gan, lch , thn tm ti
b. Rut tm ti
c. ng mch ch bung cng phng (xp)
d. Tnh mch mc treo xp (cng phng)
4. Kt qu khi m dp nt
a. dp nt khu tr
b. C mu tu khong 50ml
c. C dp nt
d. Tt c u ng
5. Th nghim 3 (kch thch au n thun) huyt p ca Th din
tin nh sau:
a . Tng --> Gim --> Huyt p =0
b. Tng --> Gim --> bnh thng
c. Gim --> bnh thng --> huyt p = 0
d. Gim --> Tng --> bnh thng
1: Hy in vo bi lm tr li cc khong trng....ca cc cu
hi sau y:
1.ch A tim..................... v ngm trong...............................
2. Kt qu ch A: .
3. Biu hin ca ch A l tnh trng:
4. C ch ph ca TN l do:..
5. Tnh cht ph ca th nghim 1 :
Ri loan chuyn ha mui nc
2 :Hy in vo bi lm tr li cc khong trng ca cu hi sau
y :
1.ch B tim .. v ngm trong..
2.Kt qu ch B .
3.C ch ph ca TN1 l do :
4.Tnh cht ph ca TN1 l :..
5.ch B l ch
3 : Hy in vo bi lm tr li cc khong trng ca cu hi sau

y :
1.ch C tim. V ngm trong
2.Kt qu ch C
3.Biu hin kt qu ch C l tnh trng ..
4.C ch ph ca TN1 l do
5.Tnh cht ph ca TN1 l
4 : Hy in vo bi lm tr li cc khong trng ca cu hi sau
y :
1.Kt qu ch D
2.C ch ph ca TN2 l do
3.Tnh cht ph ca TN2 l
4.Kt qu ca m hnh th
5.C ch ph ca TN3 l do.

5 : Hy in vo bi lm tr li cc khong trng ca cu hi sau

y :
1.Loi b huyt tng tc l loi b :
2.Mch mu no ca ch D b tc hon ton :.
3. Hu qu ca tnh trng ph l do mt cn bng..
4. Thnh mch l mng..
5. Mng t bo l mng

THI THC TP SLB- MD

CN IU DNG VNH LONG
BI 1: SC CHN THNG
1. Trong m hnh sc chn thng thc nghim ch phi c gy
m. (S)
2. Thi gian tc dung ca Lobeline tng sau th nghim, c ngha l
tc tun hon
tng (S)
3. Mc huyt p sau khi tim Adrenaline ln 2 thp hn so vi
trt th nghim do
kh nng vn mch ca c th ch sau th nghim gim. (S)
4. Qu trnh bnh sinh ca sc chn thng trn ch din ra 2 giai

on l sc cng v sc nhc.
5. Trong m hnh sc chn thng thc nghim c cht t c dp
nt l nguyn nhn
chnh cho ch. (S)
6.Kt qu th nghim 1 tinh cht c c tc dung tng huyt p (S)
7.Biu hin cc ch tiu giai on sc cng: Mch nhanh nh kh
bt, th su,HA
tng, m. (S)
8. au l nguyn nhn chnh dn n sc chn thng thuc nghim
trn ch. ()
9. Kt qu TN 2: th A cht trt th B ()
10. Trong sc chn thng khi c vong xon bnh l xut hin, thi
x tr ca thy
thuc u tin l ct t vong xon l hn l x tr nguyn nhn.
().
BI 2: SC MT MU
1. M hnh c thc hin 3 giai on: Rt 10% lng mu rt thm
40% lng mu
va truyn mu vo ng TM (S)
2. Muc ch ca giai on truyn mu l thy c kh nng hi
phuc ca c th
()
3. Th tch mu ch bng 1/12 trng lng c th (S)
4. Khi ly 40% lng mu c th khng c kh nng b tr. ()
5. Khi ly 10% lng mu c th c kh nng b tr. ()
6. Biu hin ca giai on mt mu 40%:mch nhanh nh kh bt,
kh th, HA tng.
(S)
7. Giai on mt mu 40% l v niu l do p lc lc cu thn bng
0.()
8. C th c kh nng b tr bng cch kch thch cc p cm thu
quan quai M ch
v xoang cnh.
9. Biu hin giai on mt mu 10% l mch tng, h hp gim, HA
gim, thiu niu.
10. Muc ch rt mu nhiu giai on l thy c cc giai on
ca sc. (s)