复旦大学：《系统解剖学》课程教学课件（讲稿）脉管系统——淋巴系统

Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University Into Chinese: Into English: 1.Intercostal artery 1.肺静脉 2.Hemiazygos vein 2.下腔静脉 3.Internal jugular vein 3.肝门静脉 4.Brachiocephalic vein 4.大隐静脉 5.Cephalic vein 5.贵要静脉 Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Into English: 1.肺静脉 2.下腔静脉 3.肝门静脉 4.大隐静脉 5.贵要静脉 Into Chinese: 1. Intercostal artery 2. Hemiazygos vein 3. Internal jugular vein 4. Brachiocephalic vein 5. Cephalic vein

Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University Into Chinese: 1.Intercostal artery肋间动脉 2.Hemiazygos vein半奇静脉 3.Internal jugular vein颈内静脉 4.Brachiocephalic vein头臂静脉 5.Cephalic vein头静脉 Into English: 1.肺静脉 Pulmonary vein 2.下腔静脉Inferior vena cava 3.子宫静脉hepatic portal vein 4.大隐静脉Great saphenous vein 5.贵要静脉Baslic vein Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Into Chinese: 1. Intercostal artery 肋间动脉 2. Hemiazygos vein 半奇静脉 3. Internal jugular vein 颈内静脉 4. Brachiocephalic vein 头臂静脉 5. Cephalic vein 头静脉 Into English: 1. 肺静脉 Pulmonary vein 2. 下腔静脉 Inferior vena cava 3. 子宫静脉 hepatic portal vein 4. 大隐静脉 Great saphenous vein 5. 贵要静脉 Baslic vein

Copy Right-Hongqi of Anatomy-Fudan University Contents 1.General description to lymphatic system 2.Lymphatic vessels 3.Lymphatic organs 4.Main lymph nodes lymph drainage all over the body. Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Contents 1.General description to lymphatic system 2.Lymphatic vessels 3.Lymphatic organs 4.Main lymph nodes & lymph drainage all over the body

Copy Right-Hongai ZHANG-Department of Anatomy-Fudan University Constitution of Lymphatic system 1.Lymphatic vessels 淋巴管道 2.Lymphatic tissues 淋巴组织 3.Lymphatic organs 淋巴器官 淋巴系统是心血管的辅助 系统。 Copy Right-Hongqi ZHAN omy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Constitution of Lymphatic system 1. Lymphatic vessels 淋巴管道 2. Lymphatic tissues 淋巴组织 3. Lymphatic organs 淋巴器官 淋巴系统是心血管的辅助 系统

General Introduction of lymphatic system Organization lymphatic vessels,organs tissues. Lymph:liquid,colorless or yellowish fluid,chyle- milky from the small intestine. Lymph formation:drainage excess interstitial fluid. entering the lymphatic vessels. Drainage:one-way flow to the vein-heart Lymphatic vessel:assistant vessels of the vein Function:response to immune,help to absorb fat macromolecule;filter the lymph fluid defence Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University ◆Organization lymphatic vessels, organs & tissues. ◆Lymph:liquid, colorless or yellowish fluid, chyle￾milky - from the small intestine. ◆Lymph formation: drainage excess interstitial fluid. entering the lymphatic vessels. ◆Drainage: one-way flow to the vein - heart. ◆Lymphatic vessel: assistant vessels of the vein ◆Function: response to immune,help to absorb fat & macromolecule; filter the lymph fluid & defence General Introduction of lymphatic system

Co rsity 左静脉角 右支气管纵膈千+ 上腔静脉 胸导管 胸导管- -输出淋巴管 乳糜池 浅淋巴管 -淋巴结 输入淋巴管 腹股沟浅淋巴结 组织液 -毛细淋巴管←-10% 毛细血管 ←90% -组织间隙 全身浅、深淋巴管和淋巴结示意图 Copy Right-Honymy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University 全身浅、深淋巴管和淋巴结示意图 组织液 ←10% ← 90%

Cony Riaht-Hongai 7HANG-Denartment of Anatomy-Eudan UIniversitv The formation drainage of lymphatic fluid SYSTEMIC CIRCULATION PULMONARY CIRCULATION Lymph node Lymphatic Blood capillary capillaries (higher pressure) Lymphatic duct Interstitial fluid Subclaviar vein Lymph capillary Lymphatic Veins Pulmonary vessel blood Valve capillaries Lymph vessels Heart Arteries Lymph ducts Lymph node Veins Systemic blood Lymphatic capillaries capillaries Large circulation

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University The formation & drainage of lymphatic fluid vessel Blood capillary (higher pressure) Interstitial fluid Lymph capillary Lymph vessels Lymph ducts Veins Large circulation

Copy Right- University Lymph drainage淋巴回流 Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Lymph drainage 淋巴回流

Copy Righ University Lymphatic vessels淋巴管道 Four grades: ◆Lymphatic capillary毛细淋巴管：similar with capillary,but With more permeability(no base membrane&pericyte淋巴细胞， thin endothelium,wide intercellular spaces) ◆Lymphatic vessels淋巴管：similar with vein,with valve,sup. and deep group.beaded lymph nodes. ◆Lymphatic trunks諃巴王：_nine,four-paired,one-unpaired one ◆Lymphatic ducts淋巴导管：thoracic duct and right lymph duct, Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Lymphatic vessels 淋巴管道 Four grades: ◆Lymphatic capillary 毛细淋巴管: similar with capillary,but With more permeability (no base membrane & pericyte 淋巴细胞 , thin endothelium, wide intercellular spaces) ◆Lymphatic vessels 淋巴管: similar with vein, with valve, sup. and deep group. beaded lymph nodes. ◆Lymphatic trunks淋巴干： nine, four-paired,one-unpaired one. ◆Lymphatic ducts 淋巴导管：thoracic duct and right lymph duct

Cop Lymphatic trunks and lymphatic ducts sity Lymphatic trunk淋巴干9 Four-paired ◆Left&right lumbar trunks腰干 ◆Left&right bronchomediastinal trunks支气管纵膈干 ◆Left&right subclavian trunks锁骨下干 ◆Left&right cervical trunks颈干 one-unpaired one ◆Intestinal trunk肠干 Lymphatic duct-two Thoracic duct胸导管-drain to left venous angle Right lymph duct右淋巴导管-drain to right venous angle Copy Right-Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Lymphatic trunks and lymphatic ducts Lymphatic trunk 淋巴干 9 Four-paired ◆Left & right lumbar trunks 腰干 ◆Left & right bronchomediastinal trunks 支气管纵膈干 ◆Left & right subclavian trunks 锁骨下干 ◆Left & right cervical trunks 颈干 one-unpaired one ◆Intestinal trunk 肠干 Lymphatic duct -two Thoracic duct 胸导管 – drain to left venous angle Right lymph duct 右淋巴导管- drain to right venous angle