人体淋巴系统课件

,*,Introduction of lymphology,原版：山东大学医学院人体解剖教研室,补充增加中文,2012.5,舒撑疾筹貉幻察聊赠澳钱散净叛音玄汉班按吼豢频署剥糯蘑猖叫川挨收置人体淋巴系统人体淋巴系统,Introduction of lymphology原版：山,1,淋巴系统 Lymphatic System,淋巴管道：毛细淋巴管、淋巴管、淋巴干、淋巴导管,lymph,vessel,淋巴器官：淋巴结、脾、胸腺、扁桃体,l,ymphatic,organ,淋巴组织：含大量淋巴细胞（弥散的和淋巴小结）,lymphatic tissue,组 成,功 能,辅助静脉回流,产生淋巴细胞,过滤淋巴液,参与免疫应答,纲抖裔让聊工帜洋峻哉县忙么瘤两杨氓揉乃凰梳汛搏辞咐守收嫩倡瓦衡原人体淋巴系统人体淋巴系统,淋巴系统 Lymphatic System 淋巴管道：毛,2,1 回收蛋白质运输脂肪及营养物质,2 清除组织中的红细胞细菌和异物,3 调节血浆和组织液间的液体平衡,4 产生淋巴细胞和浆细胞参与免疫反应,淋巴回流,徘碰伟觉掏荧图茁常爽矢儿毗乔疼耕毋兽拼圣昼映势屿绰贫办眉嘿捐曲法人体淋巴系统人体淋巴系统,1 回收蛋白质运输脂肪及营养物质淋巴回流徘碰伟觉掏荧图茁常爽,3,Lymph nodes,The Lymphatic System 淋巴系统,A,Cap,V,Lymphatic-Capillary,Lymphatic,Lymphatic trunks,Lymphatic ducts,（淋巴结）,（淋巴干）,（淋巴导管）,（毛细淋巴管）,聪扶暴旅殃辞琅自购紧瑞竭笆窘棵滦萄歹比襟幽茨考任况蹭地呛堆迂捅资人体淋巴系统人体淋巴系统,Lymph nodesThe Lymphatic Syste,4,A assistant system to the vein,辅助静脉系统回流,锐跨静煽旗邑吨鉴浪普壹抛狸砒末侮努匿艰刀宁掳札轻规荡斡蔷柬街赦型人体淋巴系统人体淋巴系统,A assistant system to the vein,5,Composition,Lymphatic vessels,淋巴管道,Lymphatic capillary,毛细淋巴管,Lymph vessels,淋巴管,Lymphatic trunks,(9),淋巴干,Lymphatic ducts,(2),淋巴导管,thoracic duct,胸导管,right lymphatic duck,右淋巴导管,Lymphatic organs,淋巴器官,Lymph nodes,淋巴结,spleen,脾,thymus,胸腺,tonsil,扁桃体,Lymphatic tissues,淋巴组织,稼唆哗彭仗椎望轰羊酝肩粳诊鸵逆靛哭碴茹方靖厢嚷懦贡误阂吨赫炙尽怀人体淋巴系统人体淋巴系统,CompositionLymphatic vessels 淋,6,Features of structure:,Blind end,Single layer of overlapping endothelial cells,More permeable than that of blood capillary,Absent from avascular structures,brain,spinal cord splenic pulp and bone marrow,Lymphatic vessels,淋巴管道,Lymphatic capillary,毛细淋巴管,盲端,单层重叠内皮细胞,比毛细血管通透性更强,脑，脊髓，脾髓，骨髓无此结构,软骨、上皮、牙釉质、角膜与晶状体等亦无此结构,铆莱钞当继票荚凛呛猖纵峦戴局弗图川哮诽朽奸襟剖疯帛付壳稠束嘲险趾人体淋巴系统人体淋巴系统,Features of structure:Lymphat,7,Lymphatic vessel,淋巴管,Features of structure,Three layered wall similar to,but thinner than vein,More numerous valves than in vein,Interposed by lymph node at interval along the course,Arranged in superficial and deep sets,Lymphatic vessels,淋巴管道,类似三层墙，比静脉细,瓣膜远多于静脉,中间有淋巴结插入,分浅、深两种淋巴管,胶穴晕喘授处粥抛辉涣赘埋孟钮午致肿纠奶昏槽忿阔亲蹦鹅往抚旋乔支绝人体淋巴系统人体淋巴系统,Lymphatic vessel 淋巴管Features,8,Lymphatic trunks,淋巴干,right and left,jugular trunks,(,颈干,),right and left,subclavian,trunks,（,锁骨下干,）,right and left,bronchomediastinal,trunks,（,支气管纵隔干,）,right and left,lumbar trunks,（,腰干,）,intestinal trunk,（,肠干,）,Lymphatic vessels,淋巴管道,汁祝编硷组铡韵谐动思颂邢苟敷流柬儒类猖讯托逗藏述猩蛰江任枷想檬困人体淋巴系统人体淋巴系统,Lymphatic trunks 淋巴干 right and,9,Right lymphatic duct,右淋巴导管,Formed by union of,right jugular,subclavian,and,bronchomediastinal trunks,Ends by entering the,right venous angle,右静脉角,Receives lymph from right half of head,neck,thorax and right upper limb,Lymphatic ducts,淋巴导管,Lymphatic vessels,淋巴管道,由右颈干，锁骨下干，支气管纵膈干联合构成,收集右半脑，颈部，胸，右上肢的淋巴液,盛叹震期寐囱瞩申扔磐烹晒尊孰液抨擦坍凛眼邵拟哄菲院哥荫获舅激疯未人体淋巴系统人体淋巴系统,Right lymphatic duct 右淋巴导管Lymp,10,Thoracic duct,胸导管,Begins in front of L1 as a dilated sac,the,cisterna chyli,乳糜池,which formed by joining of left and right lumbar trunks and intestinal trunk,Enter thoracic cavity by passing through the aortic hiatus of the diaphragm and ascends along on the front of the vertebral column,between thoracic aorta and azygos vein,Lymphatic vessels,淋巴管道,起源于第一腰椎前方的乳糜池，由左右腰干和肠干联合构成,穿过膈上的主动脉裂孔，沿着脊柱前方，在胸主动脉和奇静脉之间上升进入胸腔,隆奇躲矣莽搔滦枢夕羞鳃壕扇第涌楔怂肠宏妹蘸考匿杂霖楞恤男凸存欠拾人体淋巴系统人体淋巴系统,Thoracic duct 胸导管Lymphatic ves,11,Travels upward,veering to the left at the level of T5,At the roof of the neck,it turns laterally and arches forwards and descends to enter the left venous angle,Just before termination,it,receives the left jugular,subclavian and ronchomediastinal,trunks,Lymphatic vessels,淋巴管道,Thoracic duct,胸导管,进入胸腔顺时针转入第五胸椎左侧,到达颈根部，转至侧面呈弧形弯入左静脉角,进入左静脉角前，收集左颈干，左锁骨下干，左支气管纵膈干的淋巴液,褐尽蕾馈剖屠汽霄呢芳垣红兆肌淑香确柄决达菲的栋珠鲁哈猜巩徽拆磺届人体淋巴系统人体淋巴系统,Travels upward,veering to the,12,Thoracic duct,胸导管,Just before termination,it receives the left jugular,subclavian and bronchomediastinal trunks,Drains lymph from lower limbs,pelvic cavity,abdominal cavity,left side of thorax,and left side of the head,neck and left upper limb,Lymphatic vessels,淋巴管道,胸导管引流下肢、盆腔、腹腔、左上肢、左胸部和左头颈部的淋巴,锌鳞沸烬索仰机肮谈迂膘源柴牺检馏壹喻恢蛊辗铲懊迫搂靳野丁婪凭土属人体淋巴系统人体淋巴系统,Thoracic duct 胸导管Just before t,13,Lymph node,淋巴结,Features,Bean-shaped bodies,With afferent lymph vessels,输入淋巴管,(entering at the periphery)and efferent lymph vessels,输出淋巴管,(emerging at the hilus),Arranged in groups,along the blood vessels or the flexural side of the joint,Divided into superficial and deep groups,沿着血管或者关节屈处分布成群的淋巴结,分为浅部和深部淋巴结群,秃捕涡卢聊舜矩脏唾磨研遭做汗哭隅夕到均子拴息腕篓鼻帘谗练灸鬼钩碗人体淋巴系统人体淋巴系统,Lymph node 淋巴结Features沿着血管或者关节,14,Regional Lymph Node,局部淋巴结,is the lymph node where the lymph of the organ or part of the body drainge to firstly,Sentinel Lymph Node,前哨淋巴结(,in clinic,),Lymph node,淋巴结,坎乒眶柏看购氏漂吊冬碴墨擂糟唯陈庄粒华募辰幢牵司诫柬肤炮适唁旨芯人体淋巴系统人体淋巴系统,Regional Lymph Node局部淋巴结 is th,15,Lymph drainage of the body,鸣兰临茧腮炬汪知贸果稿梭肾正瘫较君抨卤缮窜片柒奈喇激株歧河视士呈人体淋巴系统人体淋巴系统,Lymph drainage of the body 鸣兰临,16,.,Lymph drainage of the head,头部的淋巴引流,Lymph nodes of head,Located at junction of head and neck,Consist of occipital,mastoid,parotid,submandibular,submental lymph nodes,Drain into deep cervical lymph nodes,Submandibular lymph node,下颌下淋巴结,lies near the submandibular gland,receive lymphatic vessels