RESPIRATORY SYSTEM II. LOWER RESPIRATORY TRACT, LUNGS TRACHEA -pars cervicalis -pars thoracica -bifurcatio tracheae - carina tracheae -15-20 cartilagines tracheales -ligg. anularia -paries membranaceus (m. trachealis) - glandulae tracheales M. sternohyoideus M. sternothyroideus Lamina pretrachealis fasciae colli TOPOGRAPHY OF THE TRACHEA -isthmus glandulae thyroideae -vv. thyroideae inferiores -a. carotis communis -v. jugularis int. -n. vagus -oesophagus -n. laryngeus recurrens -truncus brachiocephalicus -v. cava sup. -v. brachiocephalica sinistra -arcus aortae - CONIOTOMIA (CRICOTHYROTOMIA) TRACHEOTOMIA SUPERIOR TRACHEOTOMIA INFERIOR INFERIOR TRACHOTOMY -vv. thyroideae inferiores -a. thyroidea ima -v. jugularis int. - v. brachiocephalica sinistra - arcus venosus juguli - pleura - thymus - TRACHEOSTOMY Aa. tracheales (aorta, a. thyr.inf.) V. brachiocephalica sin. Nll. tracheales, tracheobronchiales Truncus sympathicus, parasymp. – CN X - GLANDULA THYROIDEA – lobus dexter - lobus sinister - isthmus - lobus pyramidalis Capsula propria, folliculi, colloid – thyroid hormone, calcitonin Fascia externa s. perithyroidea A. et v. thyroidea sup. et inf., a. thyroidea ima, nll. cervicales prof., nll. paratracheales GLANDULAE PARATHYROIDEAE –sup. et inf. Parathormone (parathyroid hormone; PTH) BRONCHI -principales -lobares -segmentales Arbor bronchialis PULMO DEXTER lobus superior medius inferior fissura obliqua fissura horizontalis PULMO SINISTER lobus superior inferior fissura obliqua incisura cardiaca lingula pulmonis sinistri apex pulmonis basis pulmonis (facies diaphragmatica) facies costalis margo anterior inferior posterior FACIES MEDIASTINALIS hillum pulmonis radix pulmonis lig. pulmonale sulcus a. subclaviae sulcus costae primae sulcus oesophageus impressio cardiaca sulcus v. cavae sup. sulcus v. azygos sulcus aorticus SEGMENTA BRONCHOPULMONALIA DEXTRA 1.s. apicale 4. s. laterale 6. s. apicale 2.s. posterius 5. s. mediale 7. s. basale mediale 3.s. anterius 8. s. basale anterius 9. s. basale laterale 10. s. basale posterius SEGMENTA BRONCHOPULMONALIA SINISTRA 1+2. s. apicoposterius 6. s. apicale 3. s. anterius (7. s. basale mediale) 4. s. lingulare superius 8. s. basale anterius 5. s. lingulare inferius 9. s. basale laterale 10. s. basale posterius Bronchioli terminales Bronchioli respiratorii Ductuli alveolares Sacculi alveolares Alveoli pulmonis Asthma bronchiale Truncus pulmonalis ® a. pulmonalis dx. et sin. Vv. pulmonales ® atrium sinistrum Aorta thoracica ® aa. bronchiales Vv. bronchiales ® v. azygos, v. hemiazygos accessoria PLEURA - visceralis - parietalis - costalis - diaphragmatica - mediastinalis Cavitas pleuralis Cupula pleurae – lig. scaleno-,vertebro-, costopleurale Recessus pleurae: r. costodiaphragmaticus r. costomediastinalis r. phrenicomediastinalis Pneumothorax Area interpleuralis sup. (thymica) Area interpleuralis inf. (pericardiaca) EXPIRATION INSPIRATION MEDIASTINUM - superius - inferius - anterius - medium - posterius mediastinum THYMUS MUSCULI THORACIS EXTRINSIC MUSCLES M. pectoralis major M.pectoralis minor M. subclavius M. serratus ant. M. sternalis INTRINSIC MUSCLES M. intercostales externi M. intercostales interni M. intercostales intimi M. subcostales M. transversus thoracis DIAPHRAGM Centrum tendineum - foramen VCI Pars sternalis Pars costalis Pars lumbalis - crus dextrum - crus sinistrum - lig. arcuatum medianum - lig. arcuatum mediale - lig. arcuatum lat. Hiatus esophageus Hiatus aorticus Illustrations and photographs were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993 Netter: Interactive Atlas of Human Anatomy. Windows Version 2.0