Section 4 THE VEINS by 8h7G6kx1

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									      Section 4 THE VEINS
• Introduction (概述)
• The Pulmonary Veins (肺静脉)
• The Systematic Veins (体静脉)
• The Anastomoses Between the
  Hepatic Portal Venous System
  and Vena Caval System (肝门静
  脉系统和腔静脉系统之间吻合)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   1
              A. Introduction
 1. The venous valve (静脉瓣)
 2. The superficial (subcutaneous)
     veins (浅静脉)
  3. The deep veins (深静脉)
 4. The venous plexus (静脉丛)
 5. The diploic veins (板障静脉)
 6. Sinuses of dura mater (硬脑膜窦)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   2
               A. Introduction
The Recurrent Factors of the Blood in Veins
 The venous valves.
 The dilation of the ventricles of the heart.
 The negative pressure of the thoracic
   cavity.
 The movements of the viscera.
 The impulses of the artery.
 the continuous blood flow from capillaries.
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   3
B. The Pulmonary Veins
Pulmonary Veins (肺静脉)
1. Right superior pulmonary v. (右上肺静脉)
2. Right inferior pulmonary v.(右下肺静脉)
3. Left superior pulmonary v.
   (左上肺静脉)
4. Left inferior pulmonary v.
   (左下肺静脉)
 the above all  left ventricle
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   4
 C. The Systematic Veins
1. The superior vena
  caval system 
   (上腔静脉系)
    上半身
2. The inferior vena
  caval system 
   (下腔静脉系)
     下半身
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   5
C. The Systematic Veins
 The superior vena caval system
 (上腔静脉系)
Head                  internal
& neck               jugular v.                                                   Superior
(头颈部)                (颈内静脉)      Venous                   Brachio-
                                  angle                  cephalic v.              vena cava
 Upper               Subclavian (静脉角)                    (头臂静脉)                  (上腔静脉)
  limb               v. (锁骨下)
 (上肢)

Thorax
(胸部)                   Azygos vein (奇静脉)

Systematic Anatomy        Dept of Anatomy, Medical College, Qingdao University        6
   Veins of the Head and Neck
1.  External jugular v. (颈外静脉)
 1) superficial temporal
     v. (颞浅静脉)
  2) posterior auricular
       v. (耳后静脉)
 3) occipital v.
     (枕静脉)
 4) retromandibular v
    (下颌后静脉前支)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   7
  Veins of the Head and Neck
 5) anterior jugular v.
    (颈前静脉)
 6) suprascapular v.
    (肩胛上静脉)
2. Internal jugular v.
    (颈内静脉)
1) retromandibular v.
   (下颌后静脉后支)
2) superior thyroid v.
   (甲状腺上静脉)
3) middle thyroid v.
     (甲状腺中静脉)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   8
  Veins of the Head and Neck
4) pharyngeal v. (咽静脉)
5) common facial v.
   (面总静脉) facial v.
   (面静脉) angular v.
   (内眦静脉) pterygoid
   plexus (翼静脉丛)
   maxillary v. (上颌静脉)
6) lingual v. (舌静脉)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   9
  Veins of the Head and Neck
 Inferior thyroid vein
  (甲状腺下静脉)
 Brachiocephalic vein
   (头臂静脉)




Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   10
 Veins of the Upper Limb
A. Deep Veins (深静脉)
1. Subclavian v.
   (锁骨下静脉)
2. Axillary v. (腋静脉)
3. Brachial v. (肱静脉)
4. Radial v. (桡静脉)
5. Ulnar v. (尺静脉)

Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   11
 Veins of the Upper Limb
B.  Superficial
 veins (浅静脉)
1. Cephalic v. (头静脉)
2. Basilic v. (贵要静脉)
3. Median cubital v.
  (肘正中静脉)

Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   12
   Veins of the Upper Limb
 4. Median antebrachial v.
     (前壁正中静脉)
 5. Dorsal venous rete of
     hand (手背静脉网)
[intravenous
  drip
  静脉滴注]
[intravenous
  injection
  静脉内
  注射]
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   13
        Veins of the Thorax
A. Parietal Tributaries
  (壁支)
Anterior Wall of Thorax
 1. Thoracoepigastric v.
  (胸腹壁静脉)
    axillary v. (腋静脉)
2. Anterior intercostal vv.
   (肋间前静脉) internal
   thoracic v. (胸廓内静脉)
   brachiocephalic v. (头臂静
   脉)
  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   14
       Veins of the Thorax




Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   15
       Veins of the Thorax
Posterior Wall of Thorax
1. Post. intercostal vv.
  (肋间后静脉)
 left side: accessory
 hemiazygos v. (副半奇
 静脉) hemiazygos v. (半奇
 静脉)
  right side:  azygos v. (奇
  静脉) sup. vena cava (上腔
  静脉)
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   16
       Veins of the Thorax
2. Veins of vertebral column (脊柱静脉)




Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   17
       Veins of the Thorax
B. Visceral
 Tributaries 脏支
1. Esophageal v.
   (食管静脉)
2. Bronchial v.
   (支气管静脉)
[esophageal varicose
 vein 食管静脉曲张]
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   18
    The inferior vena caval
     system (下腔静脉系)
        Wall and paired viscera (腹壁及成对内脏)
Abdomen
 (腹部)Unpaired viscera Liver Hepatic v.(肝静脉) Inferior
         (不成对内脏)         (肝)                 vena cava
                                            (下腔静脉)
 Pelvis       Internal
 (盆部)          iliac v.
           (髂内静脉) Common iliac v.
 Lower       External        (髂总静脉)
  limb         iliac v.
 (下肢)
           (髂外静脉)
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   19
            Veins of the Pelvis
A. Parietal Tributaries (壁支)
 1. Superior gluteal v.
   (臀上静脉)
 2. Inferior gluteal v.
   (臀下静脉)
 3. Obturator v. (闭孔静脉)
 4. Lateral sacral v.
   (骶外侧静脉)
  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   20
            Veins of the Pelvis
B. Visceral Tributaries (脏支)
1. Rectal venous plexus
   (直肠静脉丛) inferior
   rectal v. (直肠下静脉)
2. Veins of perineum
   (会阴静脉) internal
   pudendal v. (阴部内静脉)
3. Uterine venous plexus
   (子宫静脉丛) uterine v.
   (子宫静脉)
  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   21
 Veins of the Lower Limb
A. Deep Veins (深静脉)
   1. External iliac v. (髂外静脉)
   2. Femoral v. (股静脉)
   3.  Popliteal v. (腘静脉)
   4.  Anterior tibial v. (胫前静脉)
   5.  Posterior tibial v. (胫后静脉)

Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   22
  Veins of the Lower Limb
B.  Superficial Veins (浅静脉)
1. Saphenous v. (大隐静脉)
    femoral v.
 1) superficial medial femoral v. (股内侧浅)
 2) superficial lateral femoral v. (股外侧浅)
 3) superficial iliac circumflex v.
    (旋髂浅静脉)
 4) superficial epigastric v. (腹壁浅静脉)
 5) external pudendal v. (阴部外静脉)
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   23
 Veins of the Lower Limb
2. Small saphenous v. (小
  隐静脉)  popliteal v. (腘
  静脉)
3. Dorsal venous arch of
  foot (足背静脉弓)
  [autographting of veins
    静脉自体移植]
 [varicosis of great saphenous v.
 大隐静脉曲张]
 [venotomy 静脉切开术]
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   24
       Veins of the Abdomen
A. Parietal Tributaries (壁支)
 1. Inferior phrenic v.
    (膈下静脉)
2. Lumbar vv. (腰静脉)
   ascending lumbar v.
   (腰升静脉)  azygos v.
   (奇静脉) or semiazygos v.
    (半奇静脉)
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   25
      Veins of the Abdomen
B.  Paired Visceral Tributaries(成对脏支)
 1. Suprarenal v.
    (肾上腺静脉)
2. Renal v. (肾静脉)
     left side
3. Testicular v.
    (睾丸静脉)
     pampiniform
      plexus
          (蔓状静脉丛)
[varicocele 精索静脉曲张]
   Ovarian v. (卵巢静脉) College, Qingdao University
 Systematic Anatomy Dept of Anatomy, Medical       26
      Veins of the Abdomen
B. Unpaired Visceral Tributaries
   (不成对脏支)
 The Hepatic Portal Venous System
 Digestive                                                 Inferior
 apparatus Hepatic poral v.            Liver Hepatic v.(肝v) vena
(消化器官) (肝门静脉)                          (肝)                   cava
Spleen (脾)                                                                  (下腔静脉)


Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University      27
   The Hepatic Portal Venous
           System
 Hepatic portal v.
 (肝门静脉)
1. Superior mesen-
   teric v.
   (肠系膜上静脉)
2. Splenic v. (脾静脉)
   inferior mesen-
  teric v.
    (肠系膜下静脉) of Anatomy, Medical College, Qingdao University
 Systematic Anatomy Dept                                       28
   The Hepatic Portal Venous
           System
3. Left gastric v. (胃左静脉)
4. Right gastric v. (胃右静脉)
   cystic v. (胆囊静脉)
5. Paraumbilical vv.
  (附脐静脉)
 [portal hypertension
  门脉高压症]




Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   29
The Hepatic Portal Venous System
  Anomalies of Hepatic Portal Vein (肝门静脉异常)




 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   30
   D. The Anastomoses Between
       the Hepatic Portal Venous
      System & Vena Cava System
                                esophageal                      esophageal v.(食管静脉)
 left gastric v.(胃左v)
                               venous plexus                      azygos v.(奇静脉)
 hepatic portal v.(肝门v)        (食管静脉丛)                               sup vena cava (上腔v)

                                                    inf. rectal . v. &             int. iliac v.
                                rectal              anal v.(直下,肛静脉)              (髂内静脉)
sup. rectal v.(直肠上v)            venous                                  common iliac v.
inferior mesenteric v.(肠系膜下)    plexus                                    (髂总静脉)

hepatic portal v(肝门v)          (直肠v丛)
                                                            inf. vena cava (下腔静脉)
  Systematic Anatomy      Dept of Anatomy, Medical College, Qingdao University            31
The Anastomoses Between the Hepatic Portal
    Venous System & Vena Cava System




  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   32
     The Anastomoses Between
      the Hepatic Portal Venous
     System & Vena Cava System
                                            Lat. Thora.v
                             thoracoepigas (胸外侧静脉) Superior
                     Perium-                               vena cava
                                            Int. Thora.v
Hepatic Paraum- bilical Sup. epigas (胸廓内静脉)(上腔静脉)
portal v. bilcal v. venous ?                Ext. Iliac v.
(肝门v) (附脐v) network            Inf. epigas  (髂外静脉) Inferior
                    (脐周v网)Superf. epigas Gt. Saphen.v vena cava
                                            (大隐静脉)
                                                          (下腔静脉)

                              Lumbar v (腰)
Hepatic  Sup.mesen.v Vertebra                           Sup.
portal v. Splenic v.  plexus Vertebral v (椎) Azygos v. Vena
(肝门v) Inf.mesen. (脊柱v丛) Post.intercost v. System(奇v系) cava
                                                       (上腔v)
 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   33
The Anastomoses Between the Hepatic Portal
    Venous System & Vena Cava System




  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   34
  Summary of Veins of the Head and Neck
                      deep facial v.  pterygoid venous plexus
  
 额部  angular v.  facial v.  common facial v.  internal
  jugular v.  lingual v.                           
                                 superior & middle thyroid vv.
 面深部  maxillary v.  retromandibular v.  anterior
  branch
 顶颞部  superficial temporal v.   posterior branch 
  external jugular v.  subclavian v.
 耳后部和枕部  posterior auricular v. and occipital v. 
    suprascapular v.
 anterior jugular v.


Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   35
      Summary of Veins of the Upper Limb



浅层外侧  dorsal venous rete of hand  cephalic vein
                      2) Veins of the upper limb
                          浅层外侧  dorsal venous rete of hand  cephalic vein  axillary vein  subclavian vein
 axillary vein  subclavian vein
前臂正中  median antebrachial vein  median cubital
vein

浅层内侧  dorsal venous rete of hand  basilic vein
 brachial vein
深层  radial vein and ulnar vein 


 Systematic Anatomy        Dept of Anatomy, Medical College, Qingdao University                                 36
            Summary of Veins of the Thorax

       胸前壁  thoracoepigastric vein  axillary vein 
subclavian vein
       
        anterior intercostal veins  internal thoracic vein 
brachiocephalic vein
       
       胸后壁  posterior intercostal veins  azygos vein 
superior vena cava
           left side  accessory hemiazygos vein  hemiazygos
vein  right side
       内脏 esophagus  esophageal vein  azygos vein 
veins of vertebral column  spinal column
                bronchus  bronchial vein
  Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   37
             Summary of Veins of the Pelvis
            parietal tributaries
                  superior gluteal vein  internal iliac vein  inferior
gluteal vein
                       obturator vein               lateral sacral vein
            visceral tributaries
                  rectum  rectal venous plexus  inferior rectal
vein 
                   uterus  uterine venous plexus  uterine vein 
internal iliac vein
                   external genital organ  veins of perineum 
internal pudendal vein 
               2) Veins of the lower limb
                  浅层  dorsal venous arch of foot  great
saphenous vein  femoral vein  external iliac vein
                             Dept of Anatomy,  popliteal vein 
             small saphenous vein Medical College, Qingdao University
    Systematic Anatomy                                                    38
        Summary of Veins of the Abdomen

     parietal tributaries
     脐上  inferior phrenic vein  inferior vena cava 
lumbar veins  umbilical venous plexus  superior epigastric
vein  internal thoracic vein
     脐下  umbilical venous plexus  superficial epigastric
vein  femoral vein
      inferior epigastric vein  external iliac vein
     paired visceral tributaries
         right suprarenal vein                   left suprarenal
vein right renal vein  inferior vena cava  left renal vein
right testicular (ovarian) vein                    left testicular
vein  pampiniform plexus
Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   39
Summary of The Hepatic Portal Venous System



    inferior mesenteric vein  colic veins and superior rectal
 vein  降结肠-直肠
  胆囊  cystic vein   pancreaticoduodenal vein
  脾  splenic vein  superior mesenteric vein  hepatic
 portal vein  paraumbilical veins
      gastric veins  胃
        空肠-横结肠  jejunal veins & colic veins



 Systematic Anatomy   Dept of Anatomy, Medical College, Qingdao University   40

								
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