1CardiovascularSystemJingLiApr.20.2010jing.li@ion.ac.cnDepartmentofHumanAnatomyArtery2ArteryCharacteristics:•Symmetry•Inthetrunkofthebodyconsistparietalandvisceralbranches•Shortestpossiblecourse–Runonflexorsurfaces–Usuallydonotpassdirectlythroughmuscles,avoidingcompression•Togetherwiththeveinsandnervesinasheathoffasciatoformneurovascularbundle3Artery•Arteriesofpulmonarycirculation•Arteriesofsystemiccirculation4ArteriesofpulmonarycirculationPulmonarytrunk•Arisesfromrightventricle•Bifurcatesinferiortoaorticarchintorightandleftpulmonaryarteries,oneforeachlung5Arteriesofpulmonarycirculation※arterialligament动脉韧带6ArteriesofsystemiccirculationAorta主动脉•origin•branchesascendingaorta升主动脉aorticarch主动脉弓descendingaorta降主动脉头臂干brachiocephalictrunk颈总动脉commoncarotida.锁骨下动脉subclaviana.胸主动脉thoracica.腹主动脉abdominala.髂总动脉commoniliaca.7ArteriesofsystemiccirculationBloodsupply:颈总动脉——headandneckcommoncarotida.锁骨下动脉——upperlimbsubclaviana.胸主动脉——thoraxthoracicaorta腹主动脉——abdomenabdominalaorta髂外动脉——lowerlimbexternaliliaca.髂内动脉——pelvisinternaliliaca.8Ascendingaorta•rightcoronaryartery•leftcoronaryartery9Aortaarchbrachiocephalictrunk(头臂干)右颈总动脉右锁骨下动脉leftcommoncarotida.(左颈总动脉)leftsubclaviana.(左锁骨下动脉)12310commoncarotidarteryBranches•internalcarotidartery颈内动脉•externalcarotidartery颈外动脉甲状软骨carotidsinus颈动脉窦颈总动脉末端和颈内动脉起始部膨大部分。压力感受器。血压增高时兴奋,可反射性地引起心跳减慢、末梢血管扩张,血压下降。一个扁椭圆形小体,借结缔组织连于颈动脉杈的后方。化学感受器。感受血液中CO2,O2分压和H+浓度变化。当血液中CO2增高或O2分压降低时,反射性地促使呼吸加深加快。carotidglomus颈动脉小球甲状腺11externalcarotidarteryBranches:superiorthyroida.甲状腺上动脉linguala.舌动脉faciala.面动脉occipitala.枕动脉posteriorauriculara.耳后动脉maxillarya.上颌动脉superficialtemporala.颞浅动脉12externalcarotidartery颈外动脉Middlemeningealartery脑膜中动脉13subclavianartery锁骨下动脉•origin•Mainbranches椎动脉vertebrala.胸廓内动脉internalthoracica.甲状颈干thyrocervicaltrunkaxillaryartery14axillaryartery腋动脉thoracoacromiala.胸肩峰动脉lateralthoracica.胸外侧动脉subscapulara.肩胛下动脉posteriorhumeralcircunflexa.旋肱后动脉Mainbranches15brachialartery肱动脉•pathway•Mainbranchesdeepbrachiala.肱深动脉※前臂出血的压迫止血点。测血压的听诊部位及其血管。radiala.桡动脉ulnara.尺动脉肱动脉肱深动脉桡动脉尺动脉16radialartery桡动脉•Superficialpalmarbranch掌浅支•Principala.ofthumb拇主要动脉※常选切脉部位(位置、血管名称)ulnarartery尺动脉•Commoninterosseousa.骨间总动脉•Deeppalmarbranch掌深支17superficialpalmararch掌浅弓由尺动脉末端与桡动脉掌浅支吻合而成。位于掌腱膜深面,弓的凸缘约平掌骨中部。18deeppalmararch掌深弓由桡动脉末端和尺动脉掌深支吻合而成。弓的凸缘在掌浅弓近侧,约平腕掌关节高度。19descendingaorta降主动脉•thoracicaorta胸主动脉•abdominalaorta腹主动脉20thoracicaortaParietalbranches壁支•posteriorintercostala.肋间后动脉•subcostala.肋下动脉•superiorphrenica.膈上动脉Visceralbranches脏支•bronchiala.支气管动脉•esophageala.食管动脉•pericardiala.心包动脉21AbdominalaortaParietalbranches:1、inferiorphrenica.膈下动脉2、lumbara.腰动脉3、mediansacrala.骶正中动脉Visceralbranches•paired•un-paired12322Visceralbranches123AbdominalaortaPaired:1,middlesuprarenala.肾上腺中动脉2,renala.肾动脉3,testicularorovariana.睾丸动脉(或卵巢动脉)Unpaired:•celiactrunk腹腔干—T12•superiormesenterica.肠系膜上动脉—L1•inferiormesenterica.肠系膜下动脉—L323celiactrunk腹腔干•胃左动脉leftgastrica.•肝总动脉commonhepatica.-肝固有动脉properhepatica.(肝左、右动脉、胃右动脉、胆囊动脉)-胃十二指肠动脉gastroduodenala.(胃网膜右动脉、胰十二指肠上动脉)•脾动脉splenica.胰支胃后动脉胃短动脉胃网膜左动脉24superiormesentericartery肠系膜上动脉•jejunal,ileala.空、回肠动脉•ileocolica.回结肠动脉(阑尾动脉)•rightcolica.右结肠动脉•middlecolica.中结肠动脉25inferiormesentericartery肠系膜下动脉•leftcolica.左结肠动脉•sigmoida.乙状结肠动脉•superiorrectala.直肠上动脉26Commoniliacarteries髂总动脉•internaliliaca.髂内动脉•externaliliaca.髂外动脉27internaliliacarteryParietalbranches:闭孔动脉obturatora.臀上动脉superiorgluteala.臀下动脉inferiorgluteala.28internaliliacarteryVisceralbranches:umbilicala.脐动脉uterinea.子宫动脉internalpudendala.阴部内动脉inferiorvesicala.膀胱下动脉inferiorrectala.直肠下动脉29internaliliacarteryVisceralbranches:umbilicala.脐动脉uterinea.子宫动脉internalpudendala.阴部内动脉inferiorvesicala.膀胱下动脉inferiorrectala.直肠下动脉30externaliliacartery•femorala.股动脉•popliteala.腘动脉•posteriortibiala.胫后动脉•anteriortibiala.胫前动脉•dorsala.ofroot足背动脉31femoralartery•deepfemorala.股深动脉•Perforatinga.穿动脉•腹壁浅动脉•旋髂浅动脉※至腘窝移行为腘动脉※压迫止血点32popliteala.腘动脉posteriortibiala.胫后动脉•peroneala.腓动脉•Medialplantara.足底内侧动脉•Medialplantara.足底外侧动脉33anteriortibiala.胫前动脉dorsalarteryoffoot足背动脉1)deepplantarbranch足底深支2)1stdorsalmetatarsala.第1跖背动脉3)arcuatea.弓状动脉34Thankyou!