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第五节 血管 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v颈总动脉在什么位置分成颈外A和颈内A?v颈外动脉终末支的分支高度?v甲状腺上动脉与临床治疗的关系?v可以在什么位置触及面动脉的搏动?v上颌动脉的行程?v颈外动脉的感染会波及颅内吗?v当我们拔除上颌6时,可能引起哪条动脉出血 ?(会损伤牙齿本身、颊侧牙龈、舌侧牙龈)Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.一、动 脉v口腔颌面颈部的血供:颈总A和锁骨下Av右颈总动脉头臂干v左颈总动脉主动脉弓Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.颈动脉鞘:颈总动脉、颈内静脉和迷走神经颈总动脉在颈动脉三角处位置表浅,可作为摸脉,暂 时性压迫止血和颈动脉穿刺造影的部位。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v颈总A在甲状软骨上缘分成v(1)颈内动脉 供应脑的前3/5,眶内及额部。v(2)颈外动脉 颈前、口腔颌面、颅顶及硬脑膜Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.(一)颈总动脉v颈总动脉的两个重要分 叉结构:1.颈动脉窦:压力感受器 。 2.颈动脉体:化学感 受器。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.(二)颈外动脉v1.甲状腺上动脉:舌骨大角稍后方v(1)颈外动脉插管化疗v(2)颈外动脉结扎术Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v2.舌动脉:舌骨大角处v舌动脉于舌骨舌肌前缘处分成舌下动脉、舌 深动脉两终支。v供应腭扁桃体、会厌、舌下腺、口底粘膜、 舌Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.3.面动脉(颌外动脉)位于舌骨大角稍上方(1)腭升动脉:于面动脉的起始处沿咽侧壁上行至颅底,营养软腭和腭扁桃体。(2)颏下动脉:营养舌下腺、颏部 肌肉和皮肤。v(3)下唇动脉:动脉环v(4)上唇动脉:动脉环。v(5)内眦动脉:为面动脉的终支,沿鼻外侧上行至眼内眦与眼动脉相吻合。 供应鼻背和鼻翼Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v4.上颌动脉 (颌内动脉)v自髁突颈部发自于颈外动脉v依据与翼外肌的关系分为三段:v(1)下颌段:由起始处至翼外肌下缘,横行髁突 颈部深面脑膜中动脉:穿棘孔入颅中窝,供应硬脑膜和颅 骨。(颈外动脉中唯一入颅内的分支)下牙槽动脉:穿下颌孔入下颌管,在管内分支供应 下颌骨、下颌磨牙、前磨牙、牙槽突、牙周膜、牙 龈,前行于第一前磨牙下方分为二支:颏动脉-出颏孔,供应颏部和下唇;切牙支-营养下颌前牙。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v(2)翼肌段:翼外肌两头之间至翼突上颌裂,供 应咀嚼肌和关节囊v(3)翼腭段:经翼上颌裂进入翼腭窝,上牙槽后动脉未进入翼腭窝时发出,入牙槽孔 ,供应上颌磨牙、前磨牙牙槽突、颊侧粘膜和牙龈眶下动脉-眶下裂-眶下沟-眶下孔-面部 供应颊的前部、上唇根部唇侧牙龈分支:上牙槽前动脉上颌前牙腭降动脉:翼腭管,分支腭大动脉(腭大孔),供 应上颌腭侧牙龈,鼻腭支(切牙孔) 蝶腭动脉。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.v5.咽升动脉于颈外动脉起始处沿咽侧壁到达颅底。营养咽、软腭、腭 扁桃体、颈深部肌群。v6.枕动脉于二腹肌后腹下缘起自颈外动脉到达枕部,营养胸锁乳突 肌与枕部结构。v7.耳后动脉 于二腹肌后腹上缘起自颈外动脉到达耳廓后方,营养耳廓 后面肌肉和皮肤。v8.颞浅动脉自髁颈后内方起自颈外动脉伴颞浅静脉和耳颞神经穿腮腺 上行,越过颧弓浅面到达颞部分为额支和顶支。其主要分支有:面横动脉额支顶支。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.
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