中国人民解放军陆军军医大学（第三军医大学）：《人体解剖学——局部解剖学》课程教学资源（PPT课件）05 胸部 thorax

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY thorax 第三军医大学人体解剖教研室

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 1 thorax 第三军医大学人体解剖教研室 ）

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY 教学目的 按照糸统和局部两种方式归纳总结胸部解剖理论,探讨各知 识点的规律性和相互联糸。 教学重点: 1.肋间隙层次结构;2.胸膜与胸膜腔;3.肺的位置、外形,肺 内支气管和血笞;4.纵隔概念;5.上纵隔结构;6.心包与心包 腔;7膈神经胸段;8.食管、奇静脉、胸导管、迷走神经;8. 心的位置、外形;9.心冠状循环;10.心腔结构。 6教学难点 1.胸膜腔的概念,支气管肺段的概念及肺段划分;2.心包层次 与心包腔概念,胸交感干的组成和分支支配;3.心传导糸与心 的收缩、舒张及心腔内血液流动、瓣膜的作用

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 2 教学目的： 按照系统和局部两种方式归纳总结胸部解剖理论，探讨各知 识点的规律性和相互联系。 教学重点： 1.肋间隙层次结构；2.胸膜与胸膜腔；3.肺的位置、外形，肺 内支气管和血管； 4.纵隔概念；5.上纵隔结构；6.心包与心包 腔；7.膈神经胸段；8.食管、奇静脉、胸导管、迷走神经；8. 心的位置、外形；9.心冠状循环；10.心腔结构。 教学难点： 1.胸膜腔的概念，支气管肺段的概念及肺段划分；2.心包层次 与心包腔概念，胸交感干的组成和分支支配； 3.心传导系与心 的收缩、舒张及心腔内血液流动、瓣膜的作用

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY e使用教材: 《实地解剖学》,人民卫生出版社,第一版,2002年 《糸统解剖学》,人民卫生出版社,第七版,2008年。 e参考资料: 《实用人体解剖彩色图谱》,李瑞祥主编,人民卫生出版社, 2001年。 e推荐网站: 解剖在线网站(英语),http://www.innerbody.com 中国解剖网站(中文),http://www.china-natomy.com

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 3 使用教材： 《实地解剖学》，人民卫生出版社，第一版 ， 2002年 《系统解剖学》，人民卫生出版社，第七版， 2008年。 参考资料： 《实用人体解剖彩色图谱》，李瑞祥主编，人民卫生出版社， 2001年。 推荐网站： 解剖在线网站（英语），http：//www.innerbody.com 中国解剖网站（中文），http：//www.china-natomy.com

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY 数学设计理念 引导提问 系统总结 理论讲解 应用思考 局部归纳

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 4 教学设计理念 理论讲解 引导提问 局部归纳 系统总结 应用思考

三国大时 胸部境界 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY ·胸腔:由胸壁和膈围成,内有胸膜、肺和纵隔,上通 颈部,下借膈与腹腔相隔 5

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 5 • 胸腔：由胸壁和膈围成，内有胸膜、肺和纵隔，上通 颈部，下借膈与腹腔相隔 • 胸部境界

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES 体表标志 THIRD MILITARY MEDICAL UNIVERSITY Jugular notch Sternal angle Xiphoid process costal arch 6

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 6 体表标志 Sternal angle Xiphoid process costal arch Jugular notch

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY famus 胸骨角 平面 胸骨角平面:上、下纵隔分界;气管分叉;升主动脉移行为主动脉弓 和主动脉弓移行为胸主动脉;食道的第二处狭窄;奇静脉移行为奇静 7|脉弓并注入上腔静脉;胸导管左移

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 7 S A M P 胸骨角平面：上、下纵隔分界；气管分叉；升主动脉移行为主动脉弓 和主动脉弓移行为胸主动脉；食道的第二处狭窄；奇静脉移行为奇静 脉弓并注入上腔静脉；胸导管左移 胸骨角 平面

胸部标志线 Anterior median line Sternal line Midclavicular line Parasternal line

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 8 胸部标志线 Anterior median line Sternal line Midclavicular line Parasternal line

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY Anterior axillary line Midaxillary line Posterior axillary line 9

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 9 Anterior axillary line Midaxillary line Posterior axillary line

三国大时 COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY Posterior median line Paravertebral line Scapular line 10

THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES THIRD MILITARY MEDICAL UNIVERSITY COLLEGE OF BASIC MEDICAL SCIENCES 10 Posterior median line Paravertebral line Scapular line