Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University. Systematic Anatomy. Angiology Part 4. Veins. Dr.Hongqi Zhang ( 张红旗 )

Transcription

1 Systematic Anatomy Angiology Part 4 Veins Dr.Hongqi Zhang ( 张红旗 ) zhanghq58@126.com 1

2 General introduction of the veins Vessel which return the blood back to atrium No pulsation,veneous blood, metabolic material, dark red color With thin wall, less elasticity & large irregular cavity With venous valve especially in lower limb, anastomose to form venous network or plexus Superficial (subcutaneous) vein common used to clinic puncture & deep (accompanied) vein Artery - branch; vein-tributary

3 General introduction of the vein With rich anastomosis, varience is common Special vein:sinuses of dura mater; diploic veins Cardiac vein system, systemic and pulmonary circulatory vein system Drainage factors: venous valve, aspiration of the heart, negative pressure, pressurization of neighbouring muscle contracting

4 General introduction of the vein In the thoracic cavity, arterial pulsation, gravity & the change of body position Venous plexus is easy to bleeding, compressing can stop bleeding two vein accompanied one artery in forearm & leg Superficial vein could be used for venous puncture Name: from acompanying artery-renal vein, location-facial, portal v,

5 Special veins Diploic veins Sinuses of dura mater

6 Venous valve & its function

7 Cardiac venous system 1-Great cardiac vein 2-Middle cardiac vein 3-Small cardiac vein 3 1 Coronary sinus 2 Right atrium

8 Vein of pulmonary circulation -pulmonary vein Four pulmonary vein: two for each side Carry the oxygenated blood to the left atrium

9 A few important large veins 1 Left internal jugular v. 2 Left subclavian v. 3 Right brachiocephalic v.. 4 Superior vena cava Right venous angle

10 The vein of systemic circulation System of superior vena cava Right atrium System of inferior vena cava Portal system

11 Tributaries of the superior vena cava-azygos vein Superior vena cava Azygos vein

12 System of superior vena cava Receive venous blood from the following position The vein of head & neck The vein of upper limb Partial vein of thorax

13 The vein of the head and neck 1 Facial v 2 Superficial v 2 Sup.temporal v 3 Ant. jugular v 4 Ext. jugular v 1 Deep v Intracranial v 5 Internal jugular v 6 Subclavian v Distention of jugular vein venous puncture Retromandibular vein 6

14 Anterior view of the superficial vein in the neck External jugular vein Anterior jugular vein

15 The communication between facial v & intracranial v Dangerous triangle: Position & clinic importance Cavernous sinus

16 Superficial veins of the upper limb Cephalic v Baslic vein Medial cubital v Clinic importance Blood collecting Venous injection Venous puncture Intubation tube

17 The type of superficial vein in upper limb

18 Deep vein of upper limb Accompanied with artery Same name with artery Vv. of the hand Ulnar, radial v. Brachial v. Axillary v. Subclavian v. Brachiocephalic v. Sup.vena cava

19 The vein of the thorax 1 Post.intercostal v. 2 Azygos v. 3 Hemiazygos v. 4 Accessory hemiazygos v

20 The vein of the thorax Mediastinum Left view Right view

21 System of inferior vena cava Organization: Formed by left & right common iliac veins at the level of the lower border of the fifth lumbar vertebrae. Routine: Ascend along the right side of The abdominal part of the aorta And enter the right atrium finally. Collecting venous blood scope: To receive the blood from the abdominal wall, abdominal organs and the lower limb

22 R atrium Inf.vena cava Common iliac v. Internal iliac v. external iliac v. Veins of the abdomen Veins of the pelvis Veins of the lower limb System of inferior vena cava

23 The vein of the pelvis-internal iliac vein Receive the venous blood from the pelvis And accompanied the artery with the same name Inferior rectal vein Rectal venous plexus Superior rectal v Inferior rectal v Inferior mesenteric v Internal pudendal v Internal iliac vein

24 Deep vein of the lower limb Accompanied with the artery with the same name Superficial vein of the lower limb Greater & lesser saphenous vein Clinic importance Venipuncture Phlebotomize Vein varicose Greater saphenous vein lesser saphenous vein

25 Tributaries of greater saphenous vein 1 lateral superficial femoral v 2 medial superficial femoral v 3 external pudendal v 4 superficial epigastric v 5 superficial circumflex iliac v Operation of greater saphenous vein- ligation of above tributary

26 Varicose veins

27 Edema result from phlebothrombosis of left lower limb

28 the vein of the abdomen Artributaries of inf.vena cava Parietal branches Visceral branches Subphrenic vv. Lumbar vv. Testicular vv. in male Ovary vv. in female Renal vv. Suprarenal gland vv. Hepatic vv.

29 After woman is pregnant, why does she develop the swelling in right lower limb sometimes? Especially pay attention to the relation between right common iliac artery and vein.

30 Hepatic portal vein Portal v Formed by sup. mesenteric vein and splenic vein Received venous blood from unpaired organ of abdominal cavity Splenic v Inf,mesenteric v Sup,mesenteric v

31 Features of hepatic portal vein Two ends are network of capillary Without functional venous valve

32 Features of hepatic portal vein To form anastomosis between superior vena cava and inferior vena cava. through esophageal venous plenux, rectal venous plexus and paraumblical venous plexus.

33 Abdominal vein-portal vein system Portal vein Hepatic sinus Hepatic vein Inf.vena cava tributarise of portal vein Splenic v. Sup. mesenteric v. Inf. mesenteric v. Left gastric v. Right gastric v. Cystic v. Paraumblical v.

34 Anastomosis routine between portal vein & caval vein Tributaries of portal vein Esophageal venous plexus Superior vena cava Umblical venous plexus Sup.& inf. vena cava Rectal venous plexus Inferior vena cava

35 Anastomosis between portal vein & superior vena cava Hepatic portal v. Left gastric v Esophageal venous plexus Esophageal venous vein Azygos v Superior vena cava Vein varicose of esophageal vein-haematemesis

36 Anastomosis between sup. and inf.vena cava via paraumblical venous rete Lateral thoracic vein Axillary vein Subclavin vein Brachiocephali c vein Sup,vena cava horacoepigastric veins inferior epigastric v paraumblical venous network hepatic portal vein external iliac vein common iliac vein Venous Varicose of paraumblical vein inferior vena cava Copy Right- Hongqi ZHANG-Department Medusa's head of Anatomy-Fudan University

37 Anastomosis between sup. & inf.vena cava via portal v Rectal vein varicose-hemafecia Hepatic portal v Inferior mesenteric v Superior rectal v Rectal venous plexus Inferior rectal veins anal vein Inferior vena cava

38 Main symptom after portal hypertension Paraumblical vein varicose Enlarged spleen Haematemesis Hemafecia Hepatic functional lesion

39

40 The end! Good Bye!