脈管總論心臟

脈管系統(tǒng)VascularSystem組成心血管系統(tǒng)淋巴系統(tǒng)心動(dòng)脈毛細(xì)血管靜脈淋巴管道淋巴器官淋巴組織主要功能：物質(zhì)運(yùn)輸、體液調(diào)節(jié)、防衛(wèi)功能、內(nèi)分泌功能二、血液循環(huán)的途徑體循環(huán)（大循環(huán)）肺循環(huán)（小循環(huán)）側(cè)支循環(huán)一、心血管系統(tǒng)的組成心血管系統(tǒng)第一節(jié)總論二、血管吻合及其功能意義第二節(jié)心Heart一、心的位置和外形（一）心的位置（二）心的外形一尖一底二面三緣四溝心底后室間溝posteriorinterventriculargroove房室交點(diǎn)atrioventricularcrux冠狀溝coronarysulcus膈面diaphragmaticsurface肺靜脈pulmonaryv.&leftauricle二、心腔（一）右心房rightatrium右心耳rightauricle冠狀竇口orificeofcoronarysinosinus右房室口界嵴crista

terminalis梳狀肌.Pectinatem.卵圓窩fossa

ovalis胸肋面sternocostalsurface心尖切跡cardiacapicalincisure前室間溝anteriorinterventriculargroove心尖cardiacapex主動(dòng)脈弓aoticarch肺動(dòng)脈干pulmonarytrunk升主動(dòng)脈ascendingaota右心耳rightauricle（二）右心室rightventricle肉柱trabeculae

carneae乳頭肌papillarym.隔緣肉柱septomarginal

trabecula肺動(dòng)脈口orificeofpulmonarytrunk三葉瓣tricuspidvalve三葉瓣復(fù)合體肺動(dòng)脈瓣valveofpulmonarytrunk腱索chordae

tendineae室上嵴supraventricularcrest右房室口rightatrioventricularorifice（三）左心房leftatrium左心耳leftauricle左房室口leftatrioventricularorifice二尖瓣bicuspidvalve腱索chordae

tendineae乳頭肌papillarym.肺靜脈口orificeofpulmonarytrunk（四）左心室leftventricle左房室口leftatrioventricularorifice主動(dòng)脈口aoticorifice前葉瓣anteriorcuspofbicuspidvalve腱索chordae

tendinae肉柱trabeculae

carneae乳頭肌papillarym.后葉瓣posteriorcuspofbicuspidvalve左、右冠狀動(dòng)脈開口主動(dòng)脈竇aoticsinuses主動(dòng)脈瓣aoticvalve二尖瓣前葉瓣anteriorcuspofbicuspidvalve血流方向三、心的構(gòu)造（一）心纖維支架肺動(dòng)脈口纖維環(huán)fibrousringoforificeofpulmonarytrunk主動(dòng)脈口纖維環(huán)fibrousringofaoticorifice左纖維三角leftfibroustrigone右纖維三角leftfibroustrigone二尖瓣后瓣posteriorvalveofbicuspidvalve三尖瓣前瓣anteriorvalveoftricuspidvalve（二）心壁：心內(nèi)膜、心肌層、心外膜（三）房間隔和室間隔室間隔膜部membranouspartofinterventricularseptum室間隔肌部muscularpartofinterventricularseptum四、心傳導(dǎo)系（一）竇房結(jié)（二）房室結(jié)（三）房室束（His束）（四）束支1、右束支2、左束支（五）Purkinje纖維網(wǎng)竇房結(jié)sinoatrialnode房室結(jié)atrioventricularnode房室束右束支rightbundlebranch左束支leftbundlebranch結(jié)間束？五、心的血管（一）動(dòng)脈1、右冠狀動(dòng)脈rightcoronaryartery2、左冠狀動(dòng)脈leftcoronaryartery旋支circumflexbranch前室間支anteriorinterventricularbranch后室間支posteriorinterventricularbranch左室后支posteriorbranchofleftventricle左冠狀動(dòng)脈leftcoronaryartery右冠狀動(dòng)脈rightcoronaryartery(二）靜脈1、心最小靜脈2、心前靜脈心前靜脈anteriorcardiacv.3、冠狀竇冠狀竇coronarysinus心大靜脈心中靜脈心小靜脈心中靜脈middlecardiacv.心大靜脈greatcardiacv.心小靜脈smallcardiacv.六、心包pericardium外層：纖維心包內(nèi)層：漿膜心包臟層壁層心包腔（一）組成（二）心包竇橫竇transversesinus斜竇obliquesinus心血管系統(tǒng)CardivascularSystem本章基本要求掌握