Атлас анатомии человека в трех томах. Том II. (Билич, Крыжановский)

Рис. 254.

Трахея и бронхи, вид спереди:

1 - Lateral basal segmental bronchus [BIX]; 2 - Anterior basal segmental bronchus [BVIII]; 3

-Right inferior lobar bronchus; 4 - Medial segmental bronchus [BV]; 5 - Lateral segmental bronchus [BIV]; 6 - Middle lobar bronchus; 7 - Superior segmental bronchus [BVI]; 8 - Bronchial cartilages; 9 - Posterior segmental bronchus [BII]; 10 - Anterior segmental bronchus [BIII]; 11 - Right superior lobar bronchus; 12 - Apical segmental bronchus [BI]; 13

-Right main bronchus; 14 - Tracheal bifurcation; 15 - Anular ligaments; 16 - Tracheal cartilages; 17 - Arch of cricoid cartilage; 18 - Median cricothyroid ligament; 19 - Thyroid cartilage, right lamina; 20 - Left main bronchus; 21 - Anterior segmental bronchus [BIII]; 22

-Apicoposterior segmental bronchus [BI + II]; 23 - Left superior lobar bronchus; 24 - Superior lingular bronchus [BIV]; 25 - Inferior lingular bronchus [BV]; 26 - Left inferior lobar bronchus; 27 - Superior segmental bronchus [BVI]; 28 - Anterior basal segmental bronchus [BVIII]; 29 - Medial basal segmental bronchus [BVII]; 30 - Lateral basal segmental bronchus [BIX]; 31 - Posterior basal segmental bronchus [BX]; 32 - Medial basal segmental bronchus [BVII]; 33 - Posterior basal segmental bronchus [BX]

Рис. 255.

Трахея и бронхи, вид сзади (часть перепончатой стенки удалена):

I - Posterior basal segmental bronchus [BX]; 2 - Lateral basal segmental bronchus [BIX]; 3 - Medial basal segmental bronchus [BVII]; 4 - Anterior basal segmental bronchus [BVIII]; 5 - Superior segmental bronchus [BVI]; 6 - Inferior lingular bronchus [BV]; 7 - Superior lingular bronchus [BIV]; 8 - Left inferior lobar bronchus; 9 - Anterior segmental bronchus [BIII]; 10 - Left superior lobar bronchus;

II - Apicoposterior segmental bronchus [BI + II]; 12 - Left main bronchus; 13 - Tracheal bifurcation; 14 - Anular ligaments; 15 - Tracheal cartilages; 16 - Thyroid cartilage, right lamina; 17 - Corniculate cartilage; 18 - Arytenoid cartilage; 19 - Lamina of cricoid cartilage; 20 - Membranous wall; 21 - Tracheal glands; 22 - Trachealis; 23 - Right main bronchus; 24 - Right inferior lobar bronchus; 25 - Right superior lobar bronchus; 26 - Apical segmental bronchus [BI]; 27 - Anterior segmental bronchus [BIII]; 28 - Posterior segmental bronchus [BII]; 29 - Superior segmental bronchus [BVI]; 30 - Middle lobar bronchus; 31 - Lateral segmental bronchus [BIV]; 32 - Medial segmental bronchus [BV]; 33 - Anterior basal segmental bronchus [BVIII]; 34 - Medial basal segmental bronchus [BVII]; 35 - Lateral basal

segmental bronchus [BIX]; 36 - Posterior basal segmental bronchus [BX]

Рис. 266.

Трахея (А - поперечный разрез, Б - область бифуркации трахеи, киль трахеи, В - участок трахеи, реконструкция, Г - стенка трахеи, сагиттальный разрез):

1 - Membranous wall; 2 - Mucosa; Mucous membrane; 3 - Epithelium anterius; 4 - Tracheal cartilages; 5 - Adventitia; 6 - Tracheal glands; 7 - Trachealis; 8 - Carina of trachea; 9 - Fibrocartilaginous layer; 10 - Longitudinal folds; 11 - Anular ligaments; 12 - Mucosa; Mucous membrane, epithelium; 13 - Proper lamina of mucosa; 14 - Tracheal cartilage; 15 - Anular ligament

Рис. 267.

Гортань и трахея (восковая модель):

I - Subclavian artery; 2 - Recurrent laryngeal nerve; 3 - Brachiocephalic trunk; 4 - Superior vena cava; 5 - Sympathetic trunk, superior cervical ganglion; 6 - Common carotid artery; 7 - Cervical nerve [CIV]; 8 - Brachial plexus; 9 - Vagus nerve [X]; 10 - Internal jugular vein;

II - External carotid artery; 12 - Internal carotid artery; 13 - Digastric, anterior belly; 14 - Mylohyoid; 15 - Digastric, posterior belly; 16 - Submandibular gland; 17 - Hyoid bone, lesser horn; 18 - Facial artery; 19 - Hypoglossal nerve [XII]; 20 - Accessory nerve [XI]

Рис. 268.

Бронхоскопия (А - киль трахеи, Б - ветвление бронхов)

Таблица 14. Деление долевых бронхов в легких человека

Рис. 269.

Бронхиальное дерево (схема)

Рис. 270.

Легкие, объемный рендеринг

(по С.К. Терновому)

Рис. 271.

Расположение легких в грудной полости, вид спереди:

1 - Costodiaphragmatic recess; 2 - Parietal pleura, diaphragmatic part; 3 - Inferior lobe; Lower lobe; 4 - Middle lobe of right lung; 5 - Superior lobe; Upper lobe; 6 = 3 + 4 + 5 - Right lung; 7 - Right lung, anterior border; 8 - Parietal pleura, costal part; 9 - Second [II] rib; 10 - Apex of lung; 11 - Subclavius; 12 - Clavicle; 13 - Scalenus anterior; Anterior scalene; 14 - Phrenic nerve; 15 - Jugular venous arch; 16 - Inferior thyroid vein; 17 - Thyroid gland, lobe; 18 - Cricothyroid; 19 - Sternothyroid; 20 - Pyramidal lobe; 21 - Sternohyoid; 22 - Thyrohyoid; 23 - Thyroid cartilage; 24 - Omohyoid, superior belly; 25 - Superior thyroid artery; 26 - Superior thyroid vein; 27 - Cervical fascia, investing layer; superficial layer; 28 - Sternocleidomastoid; 29 - Common carotid artery; 30 - Common carotid plexus; 31 - Internal jugular vein; 32 - Brachiocephalic vein; 33 - Internal thoracic veins; 34 - Thymus; 35 - Pectoralis major; 36 - Left lung; 37 - Anterior border; 38 - Pericardium; 39 - Cardiac notch of left lung; 40 - Lingula of left lung; 41 - Inferior border; 42 - External oblique; 43 - Transversus thoracis; 44 - Costomediastinal recess; 45 - Sternal part; 46 - Rectus abdominis; 47 - Internal thoracic veins; 48 - Internal thoracic artery

Рис. 272.

Легкие в грудной клетке, вид слева:

I - Right costodiaphragmatic recess; 2 - Pleura, diaphragmatic part; 3 - Xiphoid process; 4 - Costal cartilage [VII]; 5 - Inferior lobe; Lower lobe; 6 - Costomediastinal recess; 7 - Right lung, middle lobe; 8 - Superior lobe; Upper lobe; 9 - Thymus; 10 - Right brachiocephalic vein;

II - Right subclavian artery; 12 - Cervical pleura; Dome of pleura; Pleural cupula; 13 - Right common carotid artery; 14 - Cricoid cartilage; 15 - Thyroid cartilage; 16 - Thyrohyoid membrane; 17 - Hyoid bone; 18 - Median thyrohyoid ligament;19 - Median cricothyroid ligament; 20 - Trachea; 21 - Left common carotid artery; 22 - Left subclavian artery; 23 - Rib [I]; 24 - Left brachiocephalic vein; 25 - Endothoracic fascia; Parietal fascia of thorax; 26 - Heart; 27 - Cardiac notch of left lung; 28 - Lingula of left lung; 29 - Pleura,

costal part

Рис. 273.

Легкие в плевральных полостях, часть париетальной плевры отрезана:

1 - Pleura, diaphragmatic part; 2 - Xiphoid process; 3 - Costal cartilage [VII]; 4 - Right lung; 5

-Endothoracic fascia; Parietal fascia of thorax; 6 - Superior vena cava; 7 - Pleura, mediastinal part; 8 - Brachiocephalic trunk; 9 - Right subclavian artery; 10 - Cervical pleura; Dome of pleura; Pleural cupula; 11 - Trachea; 12 - Right common carotid artery; 13 - Hyoid bone; 14 - Thyroid cartilage; 15 - Cricoid cartilage; 16 - Left common carotid artery; 17 - Right subclavian artery; 18 - Rib [I]; 19 - Arch of aorta; Aortic arch; 20 - Pulmonary trunk; 21

-Visceral pleura; Pulmonary pleura, mediastinal part; 22 - Left lung; 23 - Pericardium; 24 - Apex of heart; 25 - Lingula of left

lung; 26 - Pleura, costal part