1071．The proportion of gastroesophageal reflux symptoms in the general populaton is： A．1％～8％ （易、记忆） B．7％～15％ C．14％～22％ D．21％～29％ E．28％～36％

451．Cardiac contractility is influcenced by（ ）：（记忆，难） Ａ preload Ｂ afterload Ｃ heart rate Ｄ cardiac rhythm Ｅ all above is correct

General Considerations Disorders of hemostasis defects in platelet number or function problems in fibrin clot (coagulation) Bleeding due to platelet disorders is typically mucosal or dermatologic include epistaxis, gum bleeding, menorrhagia, gastrointestinal bleeding, purpura, and petechiae

Diagnosis of cardiac and respiratory arrest Traditional methods : 1. Carotid pulse check by lay rescuers 2. Loss of consciousness 3. Pupil dilation 4. Respiratory arrest

(一)掌握出血性疾病的分类、出血特点、实验室检查及诊断 (二)熟悉正常的止血和凝血机制。 (三)了解治疗原则

Contents Normal anatomy,physiology and metabolism of the kidney Clinical manifestation of renal disease Diagnosis and treatment

Water and Sodium Metabolism Control of water excretion Control of sodium excretion Hyponatremia and hypernatremia

Classification Prerenal ARF Intrinsic renal ARF Postrenal ARF

Anemia of increased destruction Normochromic, normochromic anemia Shortened RBC survival Reticulocytosis--Response to increased RBC destruction Increased indirect bilirubin Increased LDH

Chronic Renal Insufficiency Pathogen and pathogenesis Manifestation Laboratory examination Diagnosis and differential diagnosis Treatment