Сердечно-сосудистая системаСердце. Cor. apex, basis. 4 камеры . Atrium dex (auricula dex, septum, fossa ovalis, ostium vena cava inf, sup, sinus venarum cavarum, ostium atrioventric dex, ostium sinus coronarii). Ventric dex (septum interventr, valva tricuspidalis, trabecu-lae, mm papillares, ostium trunci pulmon, valva tr. pulm (3 valvula semilunaris), si-nus trunci pulm.) Atrium sin (4 ostia venarum pulm, ostium atrioventr sin, auricula). Ventric sin (ostium a-v sin, valva mitralis (bicuspidalis), trabeculae, mm papillares ant, post, ostium aortae, 3 valvula semilunaris, sinus aortae). Стенка сердца . Endocardium, myocardium (anuli fibrosi dex,sin, trigonum fibro-sum dex,sin. 3 слоя ( продоль, циркул, косоext ) , epicardium. Pericardium (fibro-sum, serosum-lamina pariet et visceralis, сращен с диафр. и началами сосудов , pars ant, diaphragm, mediastinalis, sinus transvers, obliquus) Провод. система . Nodus sinuatrialis ( стенка atr.dex - предсердия ), Nodus atrio-ventricularis (septum interatrialis -> fasciculus atrioventricularis -> crus dex,sin) . Сосуды сердца . Артерии. a coronaria dex ( в борозде ), sin (r interventricul ant, r circumflexus), Кол-во варьируется. Вены . Sinus coronarius (v cordis magna, media, parva, v post ventr sin, v obliqua atrii sin)+ vv minimae - в atrium dex Круги : большой :ventr sin-aortaголова и телоvv cava inf,sup-atr dex. малый: ventr dex-truncus pulmлегкиеvv pulmonales-atr sin. Aorta Pars ascend, bulbus, a coronaria dex&sin, Arcus (II ребро) , isthmus a, сза - ди дуги - биф.трахеи, лево-биф.лег.ствола, низa pulm dex, передv. brachio-cephalica. lig. arteriosum. Truncus brachiocephalicus, a comm sin, a sublcavia sin. Pars desc. (Th4-L4) Parietales: a phrenica sup, aa intercostales post (m intercost+ abdomen), r dorsalis ( спинa) , r spinalis (ms), r cutaneus med&lat, a subccostalis Viscerales: rr bronchialis, rr oesophagealis, rr pericardiaci, rr mediastenalis Pars abdominalis aortae Parietalis: a phrenica inf, aa lumbales.Viscearalis: Непар - ные : Truncus coeliacus (a gastrica sinistra [+g dex], a hepatica communis(->a h. propr-> r dex, a cystica, r sin), a gastroduod (a gastroepiploica dex[+sin]) aa pancr-duod sup ant, post, a lienalis (aa gastricae breves, a gastroepiploica sin [+dex]. A mesenterica sup aa pancr-duod inf [+sup], aa jejunales, aa ileales (12-18 ) , a ileocolica (colon asc), a colica dextra [+a ileocolica], a colica media (colon transv) [+a colica dex, sin]. A mesenterica inf a colica sinistra [+a c. med=arcus Riolani], aa sigmoidei, a rectalis sup. Парные : a suprarenalis media [ + sr inf, sup], a renalis, (a polaris sup, centr, inf->aa interlabares, aa arcuatae, aa interlobulares), a supra-renalis inf, rr ureterici, a testicularis (ovarica) -> rr ureterici, rr epididymales (tubarii) A. carotis externa Communis - trigonum caroticum-externa. Передние ветви : A Thyroid sup (a.laryngea sup, r st-cl-mast, r cricothyroid), A Lingualis (a prof. ling, r suprahyoid, a sublingualis ) , A Facialis (a palatina asc, r tonsillaris, a submentalis, a labiaris inf,sup, a angularis [+a dorsalis nasi a carot int] Задние ветви : A Occipit (rr st-cl-mast, rr auricularis, r mastoideus (dura mat)), A Auricularis post (a stylo-mastoid -> a tympanica post ( ячейки ). Медиальная ветвь : A Pharyngea asc (a meningea post ( ярем отв в зад. ямку), a tympan. inf Конечные ветви : A Temp. superf (a transv faciei ( мим м-цы), r frontalis, r parietalis, rr auricularis ant, rr parotidei , a temp. media ( m temp) , A Maxillaris (fossa pterygopalat - челюст.отд: a auricularis prof, a tympanica ant, a mentalis, a meningea media (for spinos), кры - ловид отд: a masseterica, a temp. prof, rr pterygoidei, a buccalis, a dentalis, a alveolaris sup post, крылонебный отд: a infraorbitalis ( мим м-цы губы, носа), a palatina desc, a sphenopalatina (tun. muscosa nasi ) . A. carotis interna Pars cervic, petrosa, cavernosa, cereberalis. A Ophthalmica (can. opt -> orbita. a lacrimalis ( железа) , aa ciliares ant, post, a centralis retinae, aa musculares, a ethmoidalis post, ant (a meningea ant), aa palpebrales med, a dorsalis nasi), A Cerebri ant ( lobi front, pariet, occipit, corp. striatum, bulbus olfact и в-во мозга) , A Cerebri med (pars sphenoid, insularis, corticalis), A Communicans post [+a cerebri post], A Choroidea ant (vIII plexus, subst alba, grisea, tr opticus, corp geniculat lat, capsula interna, nuclei basales, nucl. ruber) A. subclavia A Vertebralis ( pars prevertebr, cerv, atlantica , intracranialis . rr muscu-lares, a spinalis post, a spinalis ant), A Basillaris ( прод 2х pars intracran. a cere-belli inf, post, sup, a labyrinthi, aa pontis -> aa cerebri post), A Cerebri post: [+a commun. post (a carotis int)=>circ arteriosus cerebri (chiasma opt, hypothalamus), A Thoracica int (aa intercostales ant, rr sternales, rr mediastinalis, a pericardiaco-phrenica, a muscolophrenica, a epigastrica sup (m rect abd), Truncus Thyrocervi-calis (a thyroidea inf, a suprascapularis ( m sup-, infra spinatus), a transversa cer-vicis [+rr a basillaris, interosseus post, a circumflexa scapulae], Truncus costo-cervicalis ( глуб.м-цы шеи, шейный одел ms, кожа) A. axillaris 1 отд (rr subscapularis, a thoracica sup, a thoracoacromialis (m deltoid, pectorales), 2 отд (a thoracia lat - m serrat ant+ rr mammarii lat), 3 отд (a subsca-pularis (a thoracodorsalis - m teres maj, serratus ant, latiss dorsi, a circumflexa scapulae - m infraspinatus, кожа ), a circumflexa ant, post humeri (art humeri) A. brachialis sulc med humeri -> ulnaris, radialis. rr musculares, a prof. brachii (a collateralis rad, med [+ a recur. rad, a interossea recur] ), a collat. uln sup [+ a recurr uln post], a collat inf [+ a recurr uln ant]=plexus articul A. radialis sulc radialis [+ r palmaris prof=arcus palm. profundus], a recur rad [+], r palm. superf (arcus palm superf.), r carpalis dors, palm (rete carpale dors, palm) A. ulnaris [+r palm. superf=arcus], rr muscul, a recur uln ant, post [+], a interossea comm [+], r carpalis palm (rete ), r palm. superf, prof ( arcus ы) Arcus palmares superficialis et profundus A radialis (r palm superf ) +A ulnaris=arcus palm superf (aa digit palm comm, propr) A radialis+A ulnaris (r palm prof)=arcus palm prof (aa metacarpales palm, a digit palm comm, propr). A iliaca communis (art sacroiliaca: int, ext), Interna A iliolumbalis (m psoas maj, m quadr lumborum, [+a circumflexa iliaca prof] ), A glutealis sup, inf (m glut med, min, max), A umbilicalis (lig), A vesicalis inf (prostata, vagina ) , A uterina (a duct. deffer), A Rectalis med (m levator ani) [+a rectalis sup, inf], 8. A Pudenda int (a rectalis inf, a bulbi penis (vestibuli vaginae), a perinealis, aa clitoridis, a urethralis), a obturato-ria (m obt int) Externa A Epigastrica inf (m rect abd, [+a obturat], a cremasterica), a circumflexa iliaca prof ( м-цы живота и таза [+a iliolumbalis] ) A femoralis (can adduct, fossa poplitea). A Epigastrica sup [+inf], A Circumflexa iliaca superf [+a circ prof, a circ fem lat], A Profunda femoris (a circ fem med (m pectineus, obtur ext, piriformis, quadratus, acetabulum), a circ fem lat (m gluteus max, sartorius, quadriceps femoris), a perforantes (biceps, semimembranosus, -tendinosus), a genus desc ( в rete articulare genus) A poplitea A genus sup lat, med. A media genus. A genus inf lat, med. [+a genus descenden] => rete articulare genus. A tibialis posterior a musculares, a circ fib [+ коленные артерии] , A peronea (m tri-ceps genu, rr malleolares lat, med, rr calacanei - rete calcaneum), a plant med (m abd hall, m flex digit), a plant lat (arcus plantaris: aa metatarsales plantares1-4 - a digit plant comm - propr) A tibialis anterior rr musculares, A recurrens tibialis ant, post (rete art genus), A malleolaris ant lat, med [+a tib post], A dorsalis pedis (a metatarsalis dors 1 -> 3 aa digit dors), a plant prof [+arcus plantaris], AA tarsales lat, med, a arcuata [ общий анастамоз ] a arcuata -> a metatarsales dors - a digitales dors ВЕНЫ V cava superior . <> vv brachioceph dex, sin. Притоки: V Azygos (hemi-, intercost post, bronch, pericardiaci, esophagei), V Hemiazygos (hemiaccess, intercost post), Vv Intercost Post (v dorsalis, v intervertebr, plexus venosi vertebrales). Vv Brachiocephalicae (vv tymicae, pericardiacae, bronchiales, medialstinales, v laryn-gea inf, vv thyroid inf), V Thoracica Int (vv intercost ant), V Intercost Suprema, V Jugularis Int (<> sinus sigmoid. vv diploicae, vv emissariae. vv ophthlamicae sup [+v facialis], inf. vv labyrinthi. vv pharyngeales, lingualis, v thyroid sup, facialis, v retromandibularis. V Jugularis Ext ([+retromand], vv suprascapularis, v ju-gularis ant, vv transv colli), V Jugularis ant (arcus venosus), V Subclavia. V cava inferior . <> vv iliaca comm dex, sin. Париетальные : vv lumbales, vv phre-nicae inf. Висцеральные : v testicularis (ovarica) - plexus pampinifromis, v renalis, v suprarenalis, vv hepaticae. V Iliaca communis (<>int, ext). V Iliaca Int ( париет : vv gluteales sup,inf, vv obturator, vv sacrales, v iliolumbalis. висцеральн : plexus sacralis, prostaticus (v dorsalis prof penis, vv scrotales), plex vesicalis, rectalis (vv rectales med, inf, v rect sup). V Iliaca Ext (v epigastrica inf, v circ iliaca profunda) V portae . в lig hepatoduod. hilum->rr dex, sin -hepar->vv hepaticae. Притоки: v cystica, vv gastricae sin [+], dex, vv paraumbilicales [+], V Mesenterica Sup (vv je-junales, ileales, pancreaticae, v ileocolica, gastroepiploica dex, colica med, dex, appendicularis), V Lienalis (vv pancreaticae, gastrcae breves, gastroepiploica sin), V Mesenterica Inf (v rectalis sup, colica sin, vv sigmoideae . Впадает в v lienalis ) . Вены руки . Поверхн: 4 vv metacarpales dors->rete venosum dors manus. vv digit palmares. V Cephalica (<> v metacarp dors I, sucl lat ->axill). V Basilica (<> v mc d 4, sulc med), v intermedia cubiti. Глубокие: arcus palmaris prof, superfic -> 2 vv ulanres, 2 radiales -> 2 brachiales ->Axillaris (v thor lat) Вены ноги . Поверх: vv dig. dors pedis->arcus dors ped->vv marginales lat,med. vv digit plantares->metatarsales plant->arcus plant->vv tibiales post. V Saphena magna ( медиально и в v femoralis. vv dorsales superfic penis, vv scrotales), v saphena parva (<>v marg lat, латерально ). Глубокие : v profunda fem, осталь-ные попарно с артериями: vv tibiales ant, post, peroneae, v poplitea, v femoralis. V Jugularis Int . <>sin sigm. for jugulbulbus v jug. собирает sinuses, vv diploicae (front, temp ant,post, occipitalis), vv emissarii (parietalis, mastoidea, condylaris), vv ophthalmicae sup [+facialis], inf. vv labyrinthi. Внечерепные: vv pharyngeales, v lingualis, v thyroid sup (v laryng sup, v st-cl-mast), v facialis (v angularis, supra-orbit, vv palpebr sup,inf, nasales, labiales sup,inf, submentalis, vv parotidei), v retromandibularis (vv auricul ant, vv temporales, parotideae, meningeae). Анастамозы . кава-кавальные : V epigastrica sup, thoracoepigastrica + v epi inf, superfic . V azygos, hemi, lumb asc + vv lumbales dex,sin. Rr spinales vv inter-costales + rr spin vv lumbales.K ава-портальные : V epigastr sup + vv paraumbilicales. Vv esophageus + v gastrica sin. V epigastr inf + vv paraumbilicales. V rectalis med,inf + v rectalis sup. Органы лимф . vasa lymphocapillaria ( эндотелий, сети, с клапанами - постка-пилляры). vasa lymphatica (3 слоя, клапаны, коллатерали), nodi lymph.(pariet, viscer, profund, superfic, по отделам ), ductus lymph (thoracicus, dex) , truncus lymph (subclav dex,sin. jugul dex,sin, bronchomediastin dex,sin). Протоки : Truncus thoracicus ( |