среда, 28 января 2009 г.

The A-right lung, a surface;

The A-right lung, a surface; the V-right lung, a medial surface; the V-left lung, a surface; the G-left lung, a medial surface. 2. Segmentum posterius (a back segment of the top share) Looks like a wide cone, the basis turned , and top to a superlobar bronchus. Borders with II and IV ribs. 9 Pathoanatomical technicians 129 Segmentum anterius (a forward segment top vox health to Whether) the wide basis to a forward wall Breasts, between cartilages I and IV ribs, and top medially from a superlobar bronchus. Borders with The right auricle and the top vena cava. Segmentum laterale (a lateral segment of an average share) Looks like a trihedral pyramid, by the basis it is turned Forward and outside, and top upwards and medially. Segmentum mediate (a median segment of average to Whether) borders on heart and a diaphragm, to to a wall of a breast about a breast bone, between IV and VI Ribs. Segmentum apicale (an apical segment of the bottom Shares) it is presented by a sphenoidal apex of the bottom share Also is in paravertebral area.
Segmentum basale mediate (cardiacum) (the basal Median, warm, a segment of the bottom share) in shape , with the basis occupies phrenic and media - surfaces of the bottom share, top on to an intermediate bronchus. Borders on the right Auricle and the bottom vena cava. Segmentum basale anterius (the basal forward Segment of the bottom share) in the form of the truncated pyramid, from wasps on a phrenic surface of a bottom share, And a lateral face to a thoracal wall in areas between VI and VIII ribs. Segmentum basale laterale (basal lateral The cop of the bottom share) in toad health the form of a small pyramid with on a phrenic surface of the bottom share; its surface to. To a thorax between VII and IX ribs in axillary area. Segmentum basale posterius (the basal back The segment of the bottom share) lays behind all other the bottom share, , coming in back from Affairs of an is costal-phrenic sine of the parietal Pleurae. The left lung In it distinguish also 10 segments (fig. 34, In,). 1. Segmentum apicale (the apical segment of the top share) corresponds to an apical segment of the top share of the right lung. Borders on an aortic arch and a subclavial artery. 130 2. Segmentum posterius (a back segment of the top share) Its basis to back parts III and V ribs looks like a cone.
Segmentum anterius (a forward segment top to Whether), as well as symmetric to it, wide I eat to a forward wall of a breast between I-IV ribs , and its mediastinal surface adjoins with Trunk of a pulmonary artery. Segmentum lingulare superius (the top lingular Segment) the basis in the form of a wide strip at Lays to a thoracal wall in front between III and V ribs, And in axillary area to IV-VI to ribs. to a lateral segment of an average share of the right lung. Segmentum lingulare inferius (the bottom lingular The segment) lays below previous, but with a diaphragm does not adjoin. Corresponds to a median segment Average share of the right lung. Segmentum apicale (an apical segment of the bottom Shares) settles down . Segmentum basale mediale cardiacum (the basal Median warm vox t health segment of the bottom share). Segmentum basale anterius (the basal forward Segment of the bottom share). Segments 7 and 8 very often have The bronchuses beginning the general trunk. The segment 8 is separated from lingular segments (4 and 5) by a slanting interlobar cleft and has surfaces - costal, phrenic and mediastinal. 9. Segmentum basale laterale (basal lateral The cop of the bottom share) settles down in axillary and to a thoracal wall between VII and X ribs. 10. Segmentum basale posterius (the basal back The segment of the bottom share) - a large segment, settles down from other segments also adjoins with VIII and X , with a diaphragm, an esophagus and a descending aorta. A.I.Strukov and And. M.Kodolova (1959) have shown, that already at the newborn the segmentary structure of lungs is generated the same as at the adult. It is rather important, as allows to make the conclusion about uniformity of preconditions for bronchogenic diffusion of pathological processes both at children, and at adults. Features of a segmentary structure of lungs at children consist only that quaggy connective tissue layers between segments at children are expressed more clearly, 9* 131 Than at adults. It is a good reference point for an establishment of borders of segments. At adults of a side-tsy of segments are appreciable weakly and are established hardly. On chair of pathological anatomy of I Moscow medical institute of a name And. M.Setchenov the technics of opening of a bronchial tree who is reduced to the following is developed. Preparation of organs of a thoracal cavity stack on a little table a forward surface from top to bottom, and back - up, tongue to itself. Blunt scissorses cut a trachea, the main things and lobar bronchuses. Further open segmentary and subsegmental bronchuses with small scissors on a fluted probe. In a direction of the probe entered into a segmental bronchus, define its name and numbering. So examine all bronchial tree to its fine bifurcations. Thus investigate also all pulmonary segments which it is possible , being guided the intersegmental veins going superficially. Some researchers pour colour or contrast masses in segmental bronchuses. Segments of lungs at children are distinctly allocated at a pneumonia, an atelectasis, a bronchogenic tuberculosis and other diseases. OPENING AND HEART RESEARCH AND VESSELS

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