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1、,Sectional anatomy of mediastinum,李 振 平The medical college of shandong university,Sup.,Inf.,Ant.,Mid.,Pos.,Sternal angle,Manubrium sterni,diaphragm,Sympathetic trunk,Azygos V.,Vagus N.,esophagus,diaphragm,Sup.vena cava,R.P.A.,R.P.V.,pericardium,R.Principal bronchus,Vagus N.,L.P.V.,pericardium,L.Prin
2、cipal bronchus,diaphragm,L.P.A.,Phrenic N.,thymus,Aortic arch,L.Subclavian A.,Thoracic aorta,Manubrium sterni,Sup.vena cava,pericardium,R.auricle,L.auricle,Ascending aorta,Aortic arch,R.ventricle,L.ventricle,R.,L.brachiocephalic V.,Sup.vena cava,pericardium,Ascending aorta,R.ventricle,L.ventricle,R.
3、auricle,Pulmonary trunk,L.Subclavian A.,L.C.carotid A.,Brachiocephalic trunk,aorticopulmonary window,Coronary sinus,Small cardiac V.,Middlecardiac V.,great cardiac V.,L.atrium,Pos.view of heart,aorticopulmonary window,Transvers sinus .,Oblique sinus .,美国胸科学会肺局部淋巴结图American Thoracic Society map of re
4、gional pulmonary nodes, ATS,一竖、四横、一斜竖线 为气管的正中垂线，区分开 气管左、右侧的淋巴结群第一条横线 为经主动脉弓上缘的水平线， 将右侧的气管旁淋巴结分为上方的2R区和下方的4R区， 将左侧的气管旁淋巴结分为上方的2L区和下方的4L区第二条横线 为经奇静脉弓上缘的水平线，分开4R区和10R区,一竖、四横、一斜第三条横线 为经气管隆嵴上缘的水平线， 分开4L区和10L区；第四条横线 为经左肺下叶支气管起始部的水平线， 为7区的下界和11L区的上界。斜 线 为自右肺上叶支气管起始部斜向右上的线， 是10R区和11R区的分界。,R. upper paratrach
5、eal Ln.,L. upper paratracheal Ln.,L. lower paratracheal Ln.,R. lower paratracheal Ln.,Subcarinal Ln.,aortopulmonary Ln.,Ant. mediastinal Ln.,肺局部淋巴结ATS图注解 X 锁骨上淋巴结 supraclavicular nodes 2R 右上气管旁淋巴结 right upper paratracheal nodes 2L 左上气管旁淋巴结 left upper paratracheal nodes 4R 右下气管旁淋巴结 right lower paratr
6、acheal nodes 4L 左下气管旁淋巴结 left lower paratracheal nodes,肺局部淋巴结ATS图注解 5 主动脉肺淋巴结 aortopulmonary nodes 6 前纵隔淋巴结 anterior mediastinal nodes 7 隆嵴下淋巴结 subcarinal nodes 8 食管旁淋巴结 paraesophageal nodes 9 肺韧带淋巴结 right or left pulmonary ligament nodes 10R右气管支气管淋巴结 right pulmonary ligament nodes 10L 左气管支气管淋巴结 lef
7、t peribronchial nodes 11 肺内淋巴结 intrapulmonary nodes,The transvers section of mediastinum,Transverse section through venous angles,E,A,A,A,T,RBV,LBV,Transverse section through sup. part sternoclavicular joint,E,LBV,A,A,A,T,RBV,Transverse section through inf. part sternoclavicular joint,E,A,A,A,T,LBV,
8、RBV,Transverse section through 1th. Sternocostal synochodrosis,E,A,A,A,T,LBV,RBV,Transverse section through sup. part of aortic arch,E,RBV,A,A,A,T,LBV,Transverse section through aortic arch,E,SVC,AA,T,Transverse section through aorticopulmonary window,E,AV,SVC,a a,TA,T,Transverse section through L.p
9、ulmonary A.,LPB,E,SVC,a a,LPA,TA,AV,RPB,Transverse section through R.pulmonary A.,E,SVC,a a,LPA,RPA,TA,RPB,LPB,PT,Transverse section through L.auricle,E,SVC,a a,RPA,TA,RPB,LPB,PT,Transverse section through R. sup.pulmonary V.,E,V,V,A,RV,LA,SVC,a a,RPA,RPB,Transverse section through R. inf.pulmonary
10、V.,E,TA,RV,LA,a a,Transverse section through aortic orifice,E,RV,LA,RA,A O,TA,Transverse section through fossa ovalis,E,RV,LV,LA,RA,TA,Transverse section through 8th thoracic vertebra,E,RV,LV,LA,RA,TA,Transverse section through coronary sinus,E,IVC,RV,LV,TA,Transverse section through sup.part of 9th
11、 thoracic vertebra,E,IVC,RV,LV,TA,Transverse section through cardiac apex,E,IVC,RV,TA,Transverse section through second porta hepatis,E,IVC,RV,TA,The transverse scan of mediastinum by CT mediastinal window,Doppler ultrasound of heart,A,L,R,P,E,A,L,R,P,E,A,L,R,P,E,A,L,R,P,E,A,L,R,P,E,A,L,R,P,A,L,R,P,E,Thanks !,
