企业内训：精益领导力..docx
L_靡 X颗颗 卸？螟一担xq部:怙j穆Ig_配gTb葛$xd*xmlnstbl xmlnsl, microsoft. com/office/word/2003/wordml)xmlns2 urn:schemas-microsoft-com:office:smarttagspaperwl1906paperhl6838margl1800margr1800margt 1440margbl440gutter0ltrsectdeftab420ftnbjaenddoctrackmoves0trackformattingldonotembedsysfont0 relyonvmlOdonotembedlingdataOgrfdoceventsOvalidatexmllshowplacehold textOignoremixedcontent0saveinvalidxmlOshowxmlerrorslformprotallpro tformshadehorzdocdgmargindghspacel80dgvspacel56dghoriginl800dgvor iginl440dghshow0dgvshow2jcompresslnongridviewkindlviewscalel00spl ytwnineftnlytwninehtmautspuseltbalnalntblindlytcalctblwdlyttblrtgr lnbrkrulersidrootl3122968utinl*fchars !'3b?'7d v 一 一 II '”：、。】)I !" '),：；? ' I 0 *lchars (V 7b '"(K (. £ ¥fetO*wgrffmtfilterffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff fffffffffffffffffffffffffffffffffffffffffdfffffffefffffffefffffffeffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffafl3 ltrchfcsO f13fs24cf2insrsidl6254498charrsidl6062581 lochaf 13hichaf 13dbchf 13 内流 rtlchfcsl af 13 ltrchfcsO fl3fs24cf2insrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13 , rtlchfcsl afO ltrchfcsO csl9fl3fs24cflinsrsidl6254498charrsidl6062581lochafl3hichafl3dbchfl3 突触前膜兴奋与抑制 rtlchfcsl afO ltrchfcsO f13fs24insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 均为 rtlchfcsl afO ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 Ca2+rtlchfcsl afO ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 通道开放。 rtlchfcsl afO ltrchfcsOfl3fs24cf2insrsidl6254498charrsidl6062581 _par rtlchfcsl af0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 凝血： rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 4rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 是钙，外源性凝血 rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 3rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13、 rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 7. _par rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 血型：供应血的红细胞必须与受血者的血清不凝固。不然输进去一点红细胞都被血 清给凝了。*atrfstart 225005040 ( rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 Artlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 型红细胞膜上抗原凝集原， rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 Artlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 抗原，抗 rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 B rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 抗体) rtlchfcsl af0 ltrchfcsOcsl5fs24insrsidl1344973charrsidl6062581 *atrfend225005040*atnid sinibo*atnauthor shenningbochatn *annotation*atnref 225005040*atndate 651396495ltrpar pardplain ltrparsl6qlliOriOnowidctlparwrapdefaultaspalphaaspnumfaautoadjustrightrinO lin0itap0 rtlchfcsl af0afs24alangl025 ltrchfcsOfs21langl033langfe2052kerning2lochaf0hichaf0dbchaf13cgridlan gnpl033langfenp2052 rtlchfcsl af0afs21 ltrchfcsOcsl5insrsidl2989881 chatn rtlchfcsl af0 ltrchfcsO insrsidl2989881 lochafOhichafOdbchf 13 红原清素 rtlchfcsl af0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581 par pard ltrparqjliOriOnowidctlparwrapdefaultaspalphaaspnumfaautoadjustrightrinO lin0itap0pararsid7803798 rtlchfcsl af0 ltrchfcsOfs24insrsid2633422charrsidl6062581 lochafOhichafOdbchf 13 血液: 是血浆和血细胞组成。细胞外液：分血管内的血浆和血管外的组织间隙液。细胞I 细胞膜I血浆I血管壁I组织液。晶体不过细胞膜所以细胞内外形成 *atrfstart 218160325渗透压 rtlchfcsl af0 ltrchfcsO csl5fs24insrsid7803798charrsidl6062581 *atrfend 218160325*atnid s*atnauthor sinibochatn*annotation*atnref 218160325*atndate -959652808ltrpar pardplain ltrparsl6qlliOriOnowidctlparwrapdefaultaspalphaaspnumfaautoadjustrightrinO lin0itap0 rtlchfcsl af0afs24alangl025 ltrchfcsOfs21langl033langfe2052kerning2lochaf0hichaf0dbchaf13cgridlan gnpl033langfenp2052 rtlchfcsl af0afs21 ltrchfcsOcsl5insrsidl2989881 chatn rtlchfcsl af0 ltrchfcsOinsrsidl2989881 lochafOhichafOdbchf 13 渗透压f rtlchfcsl af0 ltrchfcsO insrsidl2989881 hichafOdbchaf13lochf0ADHrtlchfcsl af0 ltrchfcsO insrsidl2989881lochafOhichafOdbchf 13 ,血容量 f 醛固酮 rtlchfcsl af0 ltrchfcsO fs24insrsid2633422charrsidl6062581lochaf0hichaf0dbchfl3 一细胞内水肿；胶体不过血管壁则血管壁内外血 浆I组织液之间形成渗透压一血管外水肿，二者的对象都是水，利lochaf0hichaf0dbchfl3 用水的转运来完成。() rtlchfcsl af0 ltrchfcsO fs24cf2insrsid2633422charrsidl6062581lochafOhichafOdbchf 13晶体维持细胞内外水平衡，胶体调节血管壁内外水 平衡 rtlchfcsl af0 ltrchfcsO fs24insrsid2633422charrsid 16062581 lochafOhichafOdbchf13 )。 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 渗透压：组毛( rtlchfcsl af0 ltrchfcsO fl3fs24cf5insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 朱毛烧胶了 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 ）。渗透压就是水的转运。（ rtlchfcslaf0 ltrchfcsO f13fs24cf5insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 细胞内外水，晶体维持胶体调节 rtlchfcslaf0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13 ） rtlchfcsl af0 ltrchfcsOf13fs24insrsid7803798charrsidl6062581 par rtlchfcsl af0ltrchfcsO fs24insrsid7803798charrsidl6062581lochafOhichafOdbchf 13 血液：防止体内运输。 rtlchfcsl af0 ltrchfcsO fs24insrsid7803798charrsidl6062581 par rtlchfcsl af0 ltrchfcsO fs24insrsid7803798charrsidl6062581lochafOhichafOdbchf 13血沉加快根本原因在血浆而不是红细胞本身：rtlchfcsl af0 ltrchfcsO fs24insrsid7803798charrsid16062581 hichafOdbchaf13lochf0 1. rtlchfcsl af0 ltrchfcsOfs24insrsid7803798charrsidl6062581 lochafOhichafOdbchf 13 血浆纤 维蛋白原增加带正电荷t +。血沉红沉，加快血浆纤原正电。 rtlchfcsl af0 ltrchfcsO fs24insrsid7803798charrsidl6062581 _par rtlchfcsl af0 ltrchfcsO fs24insrsid7803798charrsidl6062581lochaf0hichaf0dbchfl3促红细胞生成素是缺氧时刺激肾脏产生的糖蛋白； 雄激素是直接刺激骨髓造血。 rtlchfcsl af0 ltrchfcsOf13fs24insrsid284273charrsidl6062581 _par pard ltrparqjliOriOnowidctlparwrapdefaultaspalphaaspnumfaautoadjustrightrinOlinOitapO rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 1. 9%rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 尿素等渗， rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 5%GSrtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 等张， rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 0. 85%NaClrtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 等渗又等张。 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl3127100charrsidl6062581linOitapO rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 1. 9%rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 尿素等渗， rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 5%GSrtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 等张， rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 0. 85%NaClrtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 等渗又等张。 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl3127100charrsidl6062581hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13lochaf13hichaf13dbchf13（尿糖盐等渗又等张） rtlchfcsl af0 ltrchfcsOf13fs24insrsidl6254498charrsidl6062581 _par rtlchfcsl af0 ltrchfcsOf13fs24cflchshdngl500chcfpat0chcbpat8insrsidl6254498charrsidl6062581 lochafl3hichafl3dbchfl3 出血性疾病 rtlchfcsl afO ltrchfcsO fl3fs24cflinsrsid16254498charrsid16062581lochaf13hichaf13dbchf13 ：外 rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 37rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 （疝气），内 rtlchfcsl af0 ltrchfcsO fl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 128 rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochafl3hichafl3dbchfl3 ,凝血因子f生成凝血活酶复合体一激活Hrtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 2）rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 凝血酶原转变成凝血酶f 促使 rtlchfcsl af0 ltrchfcsO fl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 1rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13纤维蛋白原裂解成不稳定纤维蛋白 rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 +13rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 因子f 稳定的纤维蛋白f rtlchfcsl af0ltrchfcsO fl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 12 rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochafl3hichafl3dbchfl3激活纤溶。血小板减少再障，破坏过多特小,消耗过度 rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581hichaf13dbchaf13lochf13 DICrtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13。 rtlchfcsl af0 ltrchfcsOfl3fs24cf5insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13出血时间由血小板决定，凝血时间由凝血因子决定rtlchfcsl af0 ltrchfcsOfl3fs24cflinsrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13。 rtlchfcsl abafO ltrchfcsOf13fs24cfl7insrsidl6254498charrsidl6062581 _par rtlchfcslaf0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581hichafl3dbchafl3lochfl3lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf13hichaf13dbchf13hichaf13dbchaf13lochf13lochaf 13hichaf 13dbchf 13 心肌细胞电活动: rtlchfcsl afO ltrchfcsO fl3fs24insrsid16254498charrsid16062581 0rtlchfcsl af0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13 期：rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581Nartlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581内流； rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl60625811rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581期：rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581Krtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581外流； rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl60625812 rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581期：rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581Cartlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 缓慢内流抵消 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 K)rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 的外流； rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 3rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 期:rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581Krtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 快速外流; rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 4 rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 期：rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581ATPrtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 主动转运 rtlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 NaKCartlchfcsl afO ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581lochaf 13hichaf 13dbchf 13 。窦房结细胞电活动： rtlchfcsl afO ltrchfcsO f13fs24insrsidl6254498charrsidl6062581 0 rtlchfcsl af0 ltrchfcsO f13fs24insrsidl6254498charrsidl6062581lochaf13hichaf13dbchf13 期：rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 hichaf13dbchaf13lochf13 Cartlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 lochaf13hichaf13dbchf13 缓慢内流引起； rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 123 rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 期合并： rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 Krtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 外流引起； rtlchfcsl af0 ltrchfcsO fl3fs24insrsidl6254498charrsidl6062581 4rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 期： rtlchfcsl af0 ltrchfcsOfl3fs24insrsidl6254498charrsidl6062581 Nartlc
