sistem circulator aml
TRANSCRIPT
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SISTEMUL CIRCULATOR
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canale tubulare nchise irig esuturilecircul un flux cntinuu lichi!ian" s#nge"res$ecti% li&f'
Sistemul vascular sanguin inim,vasele sanguine( sngele
Sistemul limfatic
noduri limfatice,
vase limfatice( limfa
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SISTEMUL CIRCULATOR SANGUIN I)IMA $r$ulsea* s#ngele n
%ase'
ARTERELE sg !e la ini& s$reesuturi'
+ASELE CA,ILARE = legturantre reeaua arterial -i %enas.schi&burile !intre s#nge -i $las&
/perfuia tisular!0se !esf-arn !ublu sens +E)ELE= sg' !e la esuturi la
ini&'
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Circula"ia mare/siste&ic0 1 #Sartra&ificaiile arteireeaua ca$ilar /schi&burile
!intre s#nge ( esuturi0 reeaua%enas+CS" +CIA$
Circula"ia mic!/$ul&nar01 #$artera $ul&nar$lni/schi&bul ga*s0reeauaca$ilar 2 %ene $ul&nare
AS
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INIMA Org'&uscular 345g" 67 895:&&
&e!iastinul &i;lciu" ntre cei 3$lni" su$' !e !iafrag&" $st'!e stern" cart' cst. ant' !eesfagul infrabrn-ic" artei!escen!ente" T2 ( T7
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C'nfigura"ia e(teri'ar!)*an"uri)
( crnar( inter%enticular
( interatrial"fa"a stern'c'stal!1 zona ventricular+S"+= zona arterial( e&ergena A,"A zona atrialfaa ant'a atriilr"
auriculul !r" stgfa"a %iafragmatic!( fr& >1
( ? a$arin +S += este situat&ai anterir ca +S
fa"a pulm'nar! rtun;it+aa inimiifaa $steriar a A=" AS.
( AS 2 %ene $ul&nare( A$ +CS" +CI" sinusului %ens
crnarian
marginea %reapt!/ +CI %#rful ini&ii0v,rful+S ( -cul a$exian s$'I+ ( + i'c
stg"
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Rap'rturile inimii1
fa"a stern'c'stal!( recesul cst@&e!iastinal
anterir !r" stg( $lnul !r'" stg /&argineaanteriar0
( $lastrnul sterncstal/cart'cstale III" I+ +. M+)intercstale" %asele traciceinterne" 0 &'$ectrali" gl'
&a&ar( chirurgicalB@ $uncii$ericar!ice
( in%estigaia clinic ( $ercuie"ascultaie
aria &atitii abslute /frinter$*iia &arg' $ul&nare>0
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fa"a %iafragmatic!1( eta;ul su$ra&e*clic al
ca%'ab!&inale / lb stg' ficat.fun!ul st&acului0
fa"a pulm'nar!1( $leur" $ln st#ng"( ner%ul frenic( %asele $ericar!frenice
+aa inimii1( AS( esfagul infrabrn-ic" tr'
%agal anterir $sterir"arta !escen!ent" %enaa*Dgs" !uctul tracic" T2 ( T7
( A$( $ln !r" n' frenic !r"%asele $ericar!frenice !r'
v,rful inimii1
( s$'+ i'c' stg /-cul a$exian0( la c$ii s$' I+ i'c' stg( la btr#ni s$' +I i'c' stg
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C'nfigura"ia interi'ar!1( $stersu$eriratriile
( anterinferir%entriculele
Septul inimii) interatrial" se$ar A=" AS
( 9@2&&
( subire n $riunea central/&b' fsei %ale0
atrioventricular" ntre A= -i +S"
( 9": &&
interventricular,ntre %entricule
( $riunea &e&branas/$ster@su$erir0" 9":&&
( $riunea &uscular /anter@
inferiar0" 95 @93&&"
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ATRIUL $RE-T fr& cubi!al
peretele anteri'r1( orif. atrio-ventr%al%a
tricus$i! B
peretele p'steri'r1( situat ntre orif. VCS *iVCI
peretele superi'r1( orif. VCS @ a%al%ular
peretele inferi'r)( orif. VCI( %al%ula se&ilunar
EUSTACFIO /la ft !iri;ea* sg's$re gaura Gtal0
( orif. sinusului venos coronarian
peretele me%ial)( faa !rea$t a se$tului interatrial
( fosa oval
peretele lateral)( &' $ectinai
( orif. pt. urechiua dr
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ATRIUL ST.NG fr&@cilin!ru trans%ersal
peretele anteri'r)
orif. atrio-ventr%al%a bicus$i!peretele p'steri'r)
( orif . celor 4 vene pulmonare
peretele superi'r)( cnc%" !e$ri&at !e %asele
&ariperetele inferi'r)
( nete!
peretele me%ial)( faa stg a se$tului interatrial
peretele lateral)( trabeculat" ca%ernsB"
( orif. urechiuei stg
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#ENTRICULII( caracteregenerale1
anter@inferir !e atrii
+= @ &ai anterir fr& $ira&i!al1
ba*arif' atri@%entr-i rif arterial/ A",0
$eretele &uscular grs
trabecule crnase1
r!inul I H m. papilari/ba*a se inser $e$ereii" %#rfulcr!a;e ten!inase @
se inser $e cus$i*i0
r!inul IIse inser$e $erei
r!inul IIIrelief scul$tat/983 ant ( %#rful %entriculului
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#ENRICULUL $RE-T fr&a ( $ira&i! triunghiular
/aa)
( orif. V dr( %al%a tricus$i!( orif. !@ %al%a se&ilunar
#,rf)( trabecule !e r!in I" II
-erete anteri'r)
( muchiul papilar ordin I-erete me%ial)
( se$tul inter%entricular
-erete inferi'r)( < &' $a$ilari scuri
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#ENTRICULUL ST.NG/aa)
( orif. aortic %al%e se&ilunare
( orif. atrioventr %al%a &itral#,rf)
( trabecule !e r!in II" III
-erete septal)( se$tul inter%entricular
-erete p'ster'0lateral)( M' $a$ilar su$erir /anterir0
( M' $a$ilar inferir /$sterir0
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f'carele %e asculta"ie1 *g&tele se$r$ag $e !irecia curentuluisanguin. se au! la !istan !elcul !e $r!ucere
arta s$'II ic' !re$t
$ul&nara s$'II ic'st#ng
&itrala %#rful ini&ii/-cul a$exian0
tricus$i!a sterncartila;ul cstal +I
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structura1
( pericard1 fibrs" sers
( miocard( &u-chi striat ( :555
ca$ilare 8 &&3" artere !e tipterminal infarctul miocardic
( endocard( c$tu-e-te&icar!ul
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%asculari*aie1
artera crnar st#ng
artera crnar !rea$t
sinus venos coronar
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iner%aia 1
$arasi&$atic/ J 0
si&$aticple(ul car%iac
ple"urile coronariene dr # stg $arasi&$atic
car!i@inhibitr
si&$atic
car!i@acceleratr