s Regional Anatomy Part 12-Thorax(Part 2) Mediastinum INTERNATIONAL EDITION Hongqi zhang(张红旗) Dissector Dept of Anatomy, Histoembryology CEmail:zhanghg58@126.com
1 Regional Anatomy Part 12 – Thorax (Part 2) Mediastinum Hongqi Zhang (张红旗 ) Dept. of Anatomy,Histoembryology Email: zhanghq58@126.com
1. Pay attention to the divisions of parietal pleura 2. Int thoracic a divided into sup. epigastric a. and musculophrenic a 3. Adhesion between lungs neighbouring tissues are seen 4. Identify the structure arrangement of pulmonary hilum 5. Observe the shape lobes and fissures of th lungs 6. Check the cupula of pleura, costomediastinal recess and costodiaphragmatic recess 7. Understand the significance of negative pressure of pleural cavity 8. Identify int and ext intercostal membranes and transversus thoracis 9. Master the routine arrangement location of intercostal blood vessels and nerves 10. Understand the concepts of pleural effusion, hemothorax empyema, chylothorax, and the position of thoracic puncture
1. Pay attention to the divisions of parietal pleura. 2. Int.thoracic a.divided into sup.epigastric a. and musculophrenic a. 3. Adhesion between lungs & neighbouring tissues are seen. 4. Identify the structure arrangement of pulmonary hilum. 5. Observe the shape, lobes and fissures of th lungs. 6. Check the cupula of pleura, costomediastinal recess and costodiaphragmatic recess. 7. Understand the significance of negative pressure of pleural cavity. 8. Identify int.and ext intercostal membranes and transversus thoracis. 9. Master the routine, arrangement & location of intercostal blood vessels and nerves. 。 10.Understand the concepts of pleural effusion, hemothorax: empyema, chylothorax, and the position of thoracic puncture
Each lung have two lobes by the oblique fissure
Each lung have two lobes by the oblique fissure
Internal thoracic blood vessels Complete parietal pleura and int thoracic blood vessels
Internal thoracic blood vessels. Complete parietal pleura and int.thoracic blood vessels
General introduction to mediastinum Concept: all the tissues and organs between both mediastinal pleura Location: situated between both mediastinal pleura, sagittal, to the left and separate the pleural sac and lungs. ◆ boundaries: Anteriorly: sternum and costal cartilages; Posteriorly: thoracic column Both sides: mediastinal pleura; Superiorly: inlet of thorax. Inferiorly diaphragm Contents: organs(heart trachea esophagus large blood vessels and nerve and connective tissue etc 甲状腺 前纵隔 boundary of ples interor burder of lun
Concept: all the tissues and organs between both mediastinal pleura Location: situated between both mediastinal pleura, sagittal,to the left and separate the pleural sac and lungs. boundaries： Anteriorly: sternum and costal cartilages ;Posteriorly: thoracic column. Both sides: mediastinal pleura;Superiorly: inlet of thorax. Inferiorly: diaphragm. Contents: organs (heart, trachea, esophagus, large blood vessels and nerve and connective tissue etc. General introduction to mediastinum