浙江大學(xué)醫(yī)學(xué)部的英文醫(yī)學(xué)課件系列之

1、淋巴系統(tǒng) The Lymphatic System 1Lymphatic vesselLymphatic capillaryLymphatic vessels: two sets, superficial and deepLymphatic trunks: 9Lymphatic ducts: thoracic duct 胸導(dǎo)管, right lymphatic duct 右淋巴導(dǎo)管Lymphatic organLymphatic nodesTonsil 扁桃體, spleen 脾, thymus 胸腺 Lymphatic tissueComposition2The Lymphatic Syst

2、emHeart Artery Capillaries Vein Cell Tissue fluidLymphatic capillaryLymphatic vesselLymphatic nodeLymphatic trunkLymphatic duct3 Begin blindly The wall is composed of a single layer of overlapping endothelial cellsLymphatic capillary4Lymph is driven by contraction of surrounding muscles, aided by va

3、lves which enable one-way flow to the neck.Lymphatic capillary5lymph nodes淺淋巴結(jié)深淋巴結(jié) 淋巴結(jié)門(mén) 輸入淋巴管 輸出淋巴管功能： 濾過(guò)淋巴產(chǎn)生淋巴細(xì)胞進(jìn)行免疫應(yīng)答6lymphatic trunksright and left jugular trunks right and left subclavian trunksright and left bronchomediastinal trunksright and left lumbar trunksintestinal trunk7 Lymphatic ductth

4、oracic duct cisterna chyli乳糜池：T1前，囊狀膨大，接受左右腰干和腸干 簡(jiǎn)述胸導(dǎo)管的起始、行程、注入部位及其收集范圍左頸干 ：左半頭頸部的淋巴左鎖骨下干：左上肢及左半部 分胸壁的淋巴的一部分淋巴左支氣管縱隔干 ：左胸腔器官 的淋巴和部分胸腹壁淋巴腸干：腹腔淋巴結(jié)、腸系膜上、下淋巴結(jié)左、右腰干：收納盆部及雙下肢的淋巴乳糜池胸 導(dǎo) 管Left venous angle8 Lymphatic ductright lymphatic duct右淋巴導(dǎo)管右頸干： 右半頭頸部的淋巴右支氣管縱隔干：右胸腔器官的淋巴和部 分胸腹壁淋巴右鎖骨下干：右上肢及右胸部右 淋 巴 導(dǎo) 管右 靜

5、 脈 角9Lymphatic drainage of head and neck頭部淋巴結(jié)頸部淋巴結(jié)* 頸外側(cè)下深淋巴結(jié)的輸出淋巴管合成頸干10Lymphatic drainage of upper limbs肘淋巴結(jié)cubital lymph node鎖骨下淋巴結(jié)Infraclavicular node腋淋巴結(jié)Axillary lymph node外側(cè)淋巴結(jié)胸肌淋巴結(jié)肩胛下淋巴結(jié)中央淋巴結(jié)腋尖淋巴結(jié)鎖骨下干11Lymphatic drainage of thorax胸 壁 淋 巴 結(jié)胸腔器官淋巴結(jié)12Lymphatic drainage of lower limbs腘 淋 巴 結(jié)腹股溝淺淋巴

6、結(jié)腹股溝深淋巴結(jié)13Lymphatic drainage of pelvis髂內(nèi)淋巴結(jié)internal iliac lymph node骶 淋 巴 結(jié)sacral lymph node髂外淋巴結(jié)external iliac lymph node髂總淋巴結(jié)common iliac lymph node14Lymphatic drainage of abdomen腹壁淋巴結(jié) 腰淋巴結(jié)腹腔器官淋巴結(jié)沿腹腔干及其分支排列的淋巴結(jié)沿腸系膜上、下動(dòng)脈及其分支排列的淋巴結(jié)15ThymusFeatrues Consists of two elongated lobesa large organ in the

7、fetusOccupies the thoracic cavity behind the sternumSecrete lymphopoietin, maturation T-lymph cells16ShapeThe largest single mass of lymphoid tissue in the body Reddish in colorLocation: lies between stomach and diaphragm, deep to the 9th to 11th ribits long axis corresponds roughly to the 10th ribI

8、ts lower pole extends forward only as far as the midline and cannot be palpated on clinical examinationSpleen17Two surfaces Diaphragmatic: smooth, convexVisceral: concave, hilum of spleenTwo borders Superiorhas 2-3 splenic notch, which serve as a landmark on palpation when it is enlarge; normally it i