뒤로The Circulatory System: Blood – Structure, Function, and Clinical Relevance
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The Circulatory System: Blood
Introduction
The circulatory system is essential for transporting substances throughout the body, maintaining homeostasis, and protecting against disease. Blood, a specialized connective tissue, plays a central role in these processes by circulating through the heart and blood vessels.
Functions of the Circulatory System
Overview of Circulatory System Functions
Transport: Delivers oxygen, nutrients, hormones, and removes metabolic wastes.
Protection: Defends against pathogens and prevents blood loss through clotting.
Regulation: Maintains pH, temperature, and fluid balance.
Components and General Properties of Blood
Blood Composition and Physical Properties
Volume: 4–6 liters in adults.
Percentage of Body Weight: ~8%.
Temperature: 38°C (higher than body temperature).
Viscosity: About 5 times more viscous than water, important for flow resistance.
pH: 7.35–7.45 (slightly alkaline).
Blood is composed of plasma (about 55%) and formed elements (about 45%). Formed elements include erythrocytes (red blood cells), leukocytes (white blood cells), and platelets.

Blood Plasma
Composition and Function of Plasma
Water: 92% of plasma, serves as a solvent and medium for transport.
Proteins: 7% (albumin, globulins, fibrinogen) – crucial for osmotic balance, transport, and clotting.
Other Solutes: 1% (nutrients, wastes, hormones, gases).
Major Plasma Proteins
Albumin: Most abundant, maintains osmotic pressure and transports substances.
Globulins: Involved in immune defense and transport.
Fibrinogen: Essential for blood clotting.
How Blood is Produced
Hematopoiesis
Blood cells are continuously produced in the red bone marrow through a process called hematopoiesis. Each day, the body produces approximately 400 billion platelets, 200 billion erythrocytes, and 10 billion leukocytes.
Erythrocytes (Red Blood Cells)
Structure and Function
Main Functions: Transport oxygen from lungs to tissues and carbon dioxide from tissues to lungs.
Shape: Biconcave disc, which increases surface area for gas exchange.
Lack of Nucleus: Mature erythrocytes lack a nucleus and most organelles, maximizing space for hemoglobin but preventing self-repair.

Hemoglobin
Structure: Red, iron-containing protein that binds oxygen.
Oxygen Binding: Each iron atom in hemoglobin can bind one oxygen molecule.
ATP Production: RBCs rely on anaerobic fermentation for ATP, preventing consumption of transported oxygen.

Life Cycle of Erythrocytes
Lifespan: About 120 days.
Production: Erythropoiesis occurs in the red bone marrow from hematopoietic stem cells.
Destruction: Old RBCs are removed by the spleen and liver; components are recycled.

Blood Types
ABO and Rh Blood Groups
Antigens: Surface markers on RBCs that determine blood type.
Antibodies: Proteins in plasma that react against foreign antigens.
Agglutination: Clumping of RBCs when incompatible blood types mix, due to antibody-antigen reaction.
Blood Type | Antigens | Antibodies |
|---|---|---|
A | A | B |
B | B | A |
AB | A and B | None |
O | None | A and B |
The Rh antigen is either present (+) or absent (−). Rh-negative individuals only develop antibodies if exposed to Rh-positive blood.

Leukocytes (White Blood Cells)
Structure and Function
Main Role: Defense against infection and foreign substances.
Location: Most reside in connective tissues; use bloodstream for transport.

Types of Leukocytes
Granulocytes: Neutrophils, eosinophils, basophils (contain visible granules).
Agranulocytes: Lymphocytes, monocytes (lack visible granules).

Leukocyte Life Cycle
Leukopoiesis: Production of WBCs from hematopoietic stem cells in bone marrow.
Platelets and Control of Bleeding
Platelet Structure and Function
Origin: Fragments of megakaryocytes in bone marrow.
Function: Essential for blood clotting (hemostasis).

Hemostasis: Control of Bleeding
Vascular Spasm: Constriction of blood vessel to reduce blood flow.
Platelet Plug Formation: Platelets adhere to exposed collagen and each other.
Coagulation: Fibrin forms a mesh that traps blood cells, forming a clot.

Clinical Aspects: Blood Transfusion and Disorders
Blood Transfusion
Whole Blood: Used in cases of rapid, substantial blood loss.
Packed Red Blood Cells (PRBCs): Used to restore oxygen-carrying capacity; plasma and WBCs removed.
Universal Donor: Type O (no antigens).
Universal Recipient: Type AB (no antibodies).
Blood Disorders
Sickle-Cell Anemia: Genetic disorder causing abnormal hemoglobin and sickle-shaped RBCs.
Leukemias: Cancers involving overproduction of abnormal WBCs.
Infectious Mononucleosis: Viral disease causing excess lymphocytes.

Summary Table: Formed Elements of Blood
Formed Element | Main Function | Relative Abundance | Lifespan |
|---|---|---|---|
Erythrocytes | Transport O2 and CO2 | ~99% | ~120 days |
Leukocytes | Defense and immunity | <1% | Hours to years |
Platelets | Clotting | <1% | ~10 days |
Additional info: This guide covers the essential structure, function, and clinical relevance of blood as part of the cardiovascular system, suitable for college-level Anatomy & Physiology students.