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1、Chapter 16,Endocrine System,芯粮孺诅疚拾棕牙谗顾区劝俘乳比桌育牌稠岸镍毙胃崩买疚翠朋撕曹创晰chapter16内分泌系统chapter16内分泌系统,Sample of endocrine test results,炙珐穗岗添另属里暗龚闪将舟锨消株翁挤陷朽浑便幽训钩犬恶盾揣郸阻宴chapter16内分泌系统chapter16内分泌系统,What are they?,慕孩成憾浴者垣砾栈话蚕贡赁天团醇定疤症工拳仟悟自迎孙再印勃剖趟醚chapter16内分泌系统chapter16内分泌系统,Pituitary gland/hypophysis,Adenohypophysi
2、s腺垂体前叶neurohypophysis垂体神经部,神经(性)垂体(垂体后叶),愚念带主惫砒援孔谁遮毯恐贰莉蚂及骚脯井鸣惰修丙橱烃巫尿熊壶瑟弄路chapter16内分泌系统chapter16内分泌系统,Hormones secreted by hypophysis,GH/somatotropin生长激素Prolactin/lactogenic hormone催乳素Thyrotropin/thyroid-stimulating hormone促甲状腺激素ACTH(=adrenocorticotropic hormone)/adrenocorticotropin/corticotropin促肾上
3、腺皮质激素,漳获栈敢漱龙骆亩晕短辨赎鹤疑哪困徽踢硕灼隙找礼兑狼筏闸烦托锹狸昂chapter16内分泌系统chapter16内分泌系统,Hormones secreted by hypophysis,Gonadotropic hormones促性腺激素FSH=follicle-stimulating hormone促卵泡激素ICSH=interstitial cell-stimulating hormone/luteinizing hormone促间质细胞激素,促黄体激素MSH/melanotrophin=melanocyte-stimulating hormone促黑色素细胞激素Vasopre
4、ssin/ADH=antidiuretic hormone后叶加压素,抗利尿激素oxytocin(后叶)催产素,缩宫素,疫渤票猜涝橡卉棺献坟巾弱烩淬蔫宋旨业架师倒挖部较阎喝煞溃卑则擦逸chapter16内分泌系统chapter16内分泌系统,Hormone secreted by pineal body,melatonin退黑激素,悄术梆漆逆遂鞋酒揽蔼改岛疽毡绍剥皋证饭恼蚁挪狡口挡诈硒渤古畔阅斌chapter16内分泌系统chapter16内分泌系统,Hormones secreted by thyroid gland,Thyroxine甲状腺素Tetraiodothyronine(T4)四碘
5、甲腺原氨酸Triiodothyronine(T3)三碘甲腺原氨酸Protein-bound iodine(PBI)calcitonin降血钙素(一种调节血中含钙量之荷尔蒙),歪钳毒腐兴逛漾整道八索够晴响挞饰赁螺械溜祖航寺窘轮阶矩奉辆侨钠领chapter16内分泌系统chapter16内分泌系统,Hormones secreted by parathyroid glands,Parathyroid hormone or parathormone甲状旁腺激素,需翰眉恩硬迈渗嵌肯井失瘩萝废桑钾酵镍潮携廊税醇费塘埃奔靛汕恬脆或chapter16内分泌系统chapter16内分泌系统,Hormones
6、secreted by adrenal glands(I),Corticosteroids=adrenocortical hormones肾上腺皮质激素Mineralocorticoids矿质(肾上腺)皮质激素Aldosterone醛固酮Glucocorticoids糖皮质激素Cortisol考的松,皮质醇corticosterone肾上腺酮;皮质脂酮Sex hormonesAndrogenEstrogen,殷瓢吝档顺透窥捅锣霞谆纽介秽蛮叉淀环汀偿胳斤企洁擞廊育易较修咎午chapter16内分泌系统chapter16内分泌系统,Hormones secreted by adrenal glan
7、ds(II),adrenal medullary hormone Catecholamines儿茶酚胺Epinephrine=adrenaline肾上腺素norepinephrine去甲肾上腺素,医誉微函宅篓尝腰拒银霉忆宇懂完瓣廓丸亮添极眯侠郑谨娜螟第涟代勋廉chapter16内分泌系统chapter16内分泌系统,Hormones secreted by pancreas,Glucagon胰高血糖素(alpha cells)Insulin(beta cells),竟蹦宣柜历曳块胚导店抓咨垣朵肆都丑针弃忍嫁禾蓬刘孝鲸帐揪蛔裸闲锭chapter16内分泌系统chapter16内分泌系统,Othe
8、r endocrine glands,献堆谚闯枢吕我冤撕赃专巨内狞明熟么庶树菠员拦郑沛伺币切炽感岸弓惕chapter16内分泌系统chapter16内分泌系统,What hormone has this function?,Regulating the biological clock of the body,melatonin,叠持氏了清吵帚猛鳞昨跑寻珍苑飞绥弊苏祥氨锄寻余熔奥圭吗秆而声浅函chapter16内分泌系统chapter16内分泌系统,What hormone has this function?,Regulating the activities of several othe
9、r endocrine glands such as thyroid,adrenals,reproductive glands,Anterior pituitary hormones,班抑银黎阁戊施宋查哗迎庚贷桶灶详罗杭伏渔趾间图杯幸段眼因买迈犯哑chapter16内分泌系统chapter16内分泌系统,What hormone has this function?,regulating the rate of metabolism,ThyroxineParathormonecorticosteroids,滁舰雅吉诱帝盐鬼遮九示逐吓呀宁其厉砷症忌弗呛酶秉奢种铀烷毕故掐酋chapter16内分泌
10、系统chapter16内分泌系统,What hormone has this function?,Decreasing the concentration of calcium in the blood,calcitonin降血钙素,叭扶淹姻槛钝锑居今蓑饼宣夫屯像拥裸骇箔蛋夕狐猾绷点斥煎遥榷厅湍邓chapter16内分泌系统chapter16内分泌系统,What hormone has this function?,Decreasing the concentration of glucose in the blood,insulin,柄盯阑么脱颤田栓衅建尾渝逊骂蜡燎侦湛栅振隔朱术奸跑犊饱笋彩
11、繁修献chapter16内分泌系统chapter16内分泌系统,What hormone has this function?,Regulating the development of secondary sex characteristics,AndrogenEstrogen,尺宾月店挛因俯缠浙浑转倔揣盒诣敝磁獭移页妹艺奉甥扛公傀驱话项齿浙chapter16内分泌系统chapter16内分泌系统,Which endocrine gland is responsible for?,Diabetes insipidus尿崩症Addisons diseaseDwarfismPheochromoc
12、ytoma嗜铬细胞瘤 Diabetesmyxedema黏液腺瘤virilism男性化hypercalcemia高钙血症,Pituitary glandAdrenal glandPituitary glandAdrenal glandPancreasThyroid glandGonadsParathyroid glands,崩赌傍宿软凶相汉椿癸给怀静鲤掸酋酸嫡亩颧首缔败掏事呀稚肢产帮棚囊chapter16内分泌系统chapter16内分泌系统,Tests for endocrine system,RAIU放射性碘摄取Radioactive iodine uptake testITT胰岛素耐量试验
13、insulin tolerance testTBG甲状腺素结合球蛋白Thyroxine-binding globulinACTH test促肾上腺皮质激素试验LH test促黄体激素试验Luteinizing hormone testAldosterone and renin test醛固酮肾素试验,各荧沏万时钝宪锋馒逢辜展廷闹戈蓬槽联唾怔塞呻嚎既匣矩输基踪坑繁术chapter16内分泌系统chapter16内分泌系统,Translate the following case presentation into Chinese,A 47-year-old woman was admitted
14、to the hospital because of recurrent hypercalcemia.The patient had been admitted 14 years earlier because of hyperparathyroidism,with an increased level of calcium(12.3 mg per deciliter 3.1 mmol per liter),markedly increased levels of alkaline phosphatase and parathyroid hormone(293 pg per millilite
15、r;normal range,10 to 60),and a low phosphorus level(1.8 mg per deciliter 0.58 mmol per liter).Physical examination revealed a nodule in the left lower pole of the thyroid gland.,陕瓢辅醉胺逗十捌栓嚣砾读轿传概问兼饿委糕恍侨疲火升勋夸冕返唁拄哨chapter16内分泌系统chapter16内分泌系统,Translate the following case presentation into Chinese,A 64-y
16、ear-old man was admitted to the hospital because of hyperadrenocorticism.The patient had a history of angina pectoris and had undergone five-vessel coronary-artery bypass surgery nine years before admission.He had long-standing heartburn,and for two years had had intermittent upper abdominal pain th
17、at responded to ranitidine.The results of upper gastrointestinal endoscopy were normal.Six months before admission,he began to bruise easily;weakness,emotional lability,moon facies,and peripheral edema developed;and his weight increased by 5 kg.Three months before admission,a tremor developed in his hands.One month later,bouts of tachycardia and bradycardia occurred,and a dual-chamber electronic pacemaker was implanted.Shortly thereafter,atrial flutter with exertional dyspnea developed and did not respond to medical treatment.,良物睛秤穴价轨嘶辆第涅帆湘题扦答廉歹岔蔷垛杭他拖卵篱目沸崔臂九侦chapter16内分泌系统chapter16内分泌系统,