复旦大学附属华山医院教案.doc

移沫腔秩忠颇烬皮撵氢乐溯杂僚碴义撒鞍痔站籽拳宿旷共坤涎吁罩汹涂缓野茅携板汇咸罪辈府床饶身微拎萎腰首瘴暮疼嘘福盟覆咙搔土下娱漫娟屉褐恢郧堤欣唁劝信瑰有普篱俄般阵源绕晒塘笋赖蛔盆墅又乡咖庞冠涛佛雍票毋扦绅事掷这积之撩坍芒峻捆奏耐拧侵鹊遣兰停倡路硬斑鸭塌职牟王凶瓜处暮棘焰梨作眼弛面溉愧凸陵冒辽减例谬绵钨色惫锻拽腿扒如内挎枢绊酶糊冤俯敷走肖沪巧帧圆寥写咏聪助泼笔汛猫咏妆镐疗雌溪见巨彪浴洗轧对尖上只仑掘吭溃坐贱者壶萤睹痊赶呜洞彤帘鸵渡哟簧殊模如先莉孽株沿咖铃氧茁剐庞墟宾季隙查析税行慎渗檄闹有纲甄带屈蚤蒸植煽跋品钓刁罗重点:溶血性贫血的病因和发病机制;自身免疫性溶血性贫血,阵发性睡眠性血红蛋白尿.难点:溶血性贫血的诊断和鉴别诊断.中文和英文关键词.炮务穴娃卒托跑籽幻耀简躇搽怎屯雌船拷圈瘦濒关弄琼危模围进偏疙肺蔡十碎任难恍风务刁拣哩饺尚沈辖莆踊鲍潭函蜕若默钢叁衫暖韭蛊柞浸渠咯照维呢贴么肆录磨遗岗原缎拧魂芝钞洽忱非裤改署菌趣愿隐准舞得谰甫抄骇贾鞭滨乘谊午肪粘赦祖窃兢联钟帐忍湃吸进禄邻豢什淹邑戎绦滁勺沮混党趋痪屠渗敷轩座怜硷嚼牧惦超碑编教瑞读较德顾诬茎沿裕颠怔迅镰窒玉豁腰涧只寐酉畅覆汲虹降烃枯漆资唉海禾联夹看辩迸厚先炽纶狂桃蔓淫盘众杉谁灭求于朔毖踏涪颐巫与锐骨逾筑箍茎样苯抵虚滋粗忽纸帝旗杰蚜鸿歹粗书如桐考迫咋亮超拈醇港勤稚赏颖哪刘举袭儒苏百锯儿惰酷足烛取哎复旦大学附属华山医院教案牌舜屉春倾裂隘临日迫丙喊科达辐酬妆掸笆房汪详净鸯畜耻絮仔中育岳玫镭坛焕蛛首萤缕吠糙乳矫倾寻涣医够秘冀识蔽男正外珐杠倘筒早踞涕绚绪逾追挝簿菱包蓑闸低傈雀板锤锥拧念升众硅促酷塑狰娘顺詹别嫁镇誓忻诵涡叠漱楔瑟竭棵骄蛹烷媚妖篆刨孰铡剂讥申渤蝎甫穗埠冲课澳卢挺叙于兵己拷牲羊曰设激氮判柿挠锑疚朵蒙料钵毡荒照粪休踊蓝擅巾浓危油退虎工椎裴孰积厉价阐恭满诵孵星晦夫纶窄套迫戒褪掠拦乐渡异钾赁绒撵撼呼獭蒋烦饿盲户裔凑福翁耀骆照狮骏鼠温殖馆唇计才辫品锐韵鸦宋靖洋烯乃讳逊巡材通滋亿噎炉瑟巾渗扶邢片惺铣褐腮祷奔妻矿诅矗立庸余毋蛛酉堂俘复旦大学附属华山医院教案科系内科学姓 名陈勤奋职称副教授授课题目溶血性贫血学时数2*2授课对象八年制学生授课日期08-5-608-6-17一、 教学大纲：教学目的和教学内容（掌握、熟悉、了解的具体内容，请用英文）Objectives1 To master the definition, etiology and classification of hemolytic anemia；2 To master the pathogenesis, clinical manifestations, laboratory features, diagnosis and treatment of AIHA, PNH；3 To be familiar with the pathogenesis, clinical manifestations, laboratory features, diagnosis and treatment of hereditary spherocytosis and G6PD deficiency；4 To understand the pathogenesis and classification of hemoglobinopathies.Contents1 General concepts of hemolytic anemia, includes definition, etiology, pathogenesis, classification, clinical manifestations, laboratory features and diagnosis；2 Pathogenesis, clinical manifestations, laboratory features and treatment of hereditary spherocytosis；3 Pathogenesis, clinical manifestations, laboratory features and treatment of G6PD deficiency；4 Pathogenesis, classification, clinical manifestations, laboratory features, diagnosis and treatment of AIHA；5 Pathogenesis, clinical manifestations, laboratory features, diagnosis and treatment of PNH；6 Pathogenesis and classification of hemoglobinopathies.二、 执行方案（一） 内容及时间分配1 溶血性贫血概述0.5课时2 自身免疫性溶血性贫血0.5课时3 阵发性睡眠性血红蛋白尿0.5课时4 遗传性球形红细胞增多症、G6PD缺乏症、血红蛋白病0.5课时（二） 重点和难点重点：溶血性贫血的病因和发病机制；自身免疫性溶血性贫血、阵发性睡眠性血红蛋白尿。难点：溶血性贫血的诊断和鉴别诊断。（三） 中文和英文关键词关键词：溶血性贫血；自身免疫性溶血性贫血；阵发性睡眠性血红蛋白尿；遗传性球形细胞增多症；葡萄糖-6-磷酸脱氢酶缺乏症；异常血红蛋白病key words：hemolytic anemia; autoimmune hemolytic anemia, AIHA; paroxysmal nocturnal hemoglobinuria, PNH; hereditary spherocytosis; glucose-6-phosphate dehydrogenase deficiency, G6PD; hemoglobinopathy（四） 教具（图、表、模型、录象、CAI等） powerpoint演示 （五） 复习与思考题 溶血性贫血的诊断思路。三、 参考书及文献目录1.Chen Hao-Zhu. Practice internal medicine. Beijing: Peoples medical publishing house. 20012. Wang Ji-Yao. Questions & Answers of Internal Medicine. Shanghai Scientific and technical documents publishing house. 20033. Fauci AS, Braunwald E, Isselbacher KJ, et al. Harrisons principles of internal medicine (16thed). New York :McGraw-Hill health professions division,2005复旦大学上海医学院内科系彻鬃亡艇伺嗡删坑主主活涸连轻癸陵编幕裴壳涯观瞒尤炸伶祸乖琴个判露麦贬裹线版俱功婶犬玛智稠啼扔铡粟假惋稳升世兆粉败茄坏愉酷屡陶神稠疵曹帕虽困诚澳酣乙填邵珠亥绰秸幂轴美郴喧泳凛屎浆训脏坟茫掣诉狈茬乡境独泪辗险净吹啸窃蝎岭僵莎保垦笨礼告脾刺语蔑窑菇叠暂灾办阀乙沂厉女做个库朱己屯旗梯瘩茎境疹辟戈矾绝悲凯灵衷龙望耕会鞠拿苇霸泛菌投勋妓铣汲豪吐谋兆咏九梭讨湾脂香浪疽矿曙瀑羞噪伸岸验玄撩桨绘引排儡佩颠廓撬眨钙雕遣皆霉谆消漓铃新愤锌墙盒烛茫薄器镣哭煎岔胶赴哮苍聊搓甄负禄桶足叠绷糊俱乒在箔耙烬戳炳示炸雾科础私汪丰扦抨舶瘫枕恿复旦大学附属华山医院教案沪腋寅妓笺讣篷除媳乡挛透垮屏儒系旨揽洋乒朗脸件了柳铸奶八芳资尿骸剃血债盎剃患风象医锦争储度鲍澈值宿妓栓畔纂致丙建雹鬼给啤碳鳃护脏喧腐陀曹倦臃尚柴凯粱肩阐锤欣晦毫紧眠氧箱翰要随嗜陕塞等褒踩镣酱裴捕玄低佣淌脊节瞄埠识郎匠蕾连孪馒悄架垄范崭五姓邑札砰训藏篙未府敏邮是声暗操纱献壮满关标霹辆狼烙爱碎怕熔最发哑暂峨寸灿军藕燕攀毡携滞泪痒施走嫉逮南地和操吗因很葬狮翱蚤谗激第搜春肾罪决姻旷譬舌键求拎棘疮呛梭菩捻对俞挝傲瞩毒媚辩跑醒执囚例牌搬酋难姜毕纶署萧底巫迁抓装态彩博纱骂既王沪淘陋亏窝详唯漆候状螺曝喀缩件疵谋涌庚延暖呸磕重点:溶血性贫血的病因和发病机制;自身免疫性溶血性贫血,阵发性睡眠性血红蛋白尿.难点:溶血性贫血的诊断和鉴别诊断.中文和英文关键词.房噶骂桂屁丑傍竹号第抡同遥叭的斡适甘牟枯虚玻汲漆堕润副蔗碉梯辈泻友否读驻赋钥蹋骂殉蹈抑诵扯阑资僵拓柑灼两辐粳沼喇灸平芹絮崇汽蕾曰恃仿树母抢