局部解剖学结肠下区课件.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Treatment of Renal Failure (continued) Kidney Transplantation (continued) Donor kidney surgically placed in iliac fossa Donor renal artery connected to recipient’s iliac artery Donor renal vein connected to recipient’s iliac vein Donor ureter connected to recipient’s bladder Donor kidney usually functions once it is in place Treatment of Renal Failure (continued) 作业题（共5分） Case: 一患者因右下腹疼痛，而来院就医，经检查诊断为阑尾炎，同时发现肝右叶有一1.5×2.0cm脓肿病灶，疑为阑尾炎感染扩散所至。现欲经McBurney氏切口切除阑尾。 Question: # 1 McBurney氏切口位于何处？手术切口经何层次？术中如何寻找阑尾？ Question: # 2 阑尾动脉来自何处？走行于何结构内？ Question: # 3 阑尾感染为何引会起肝右叶脓肿？ Arthrology Thanks Gall bladder Duodenum Accessory duct (duct of Santorini) Hepatopancreatic ampulla (Ampulla of Vater) ligament Clinical Notes Bile is secreted by the liver cells Common hepatic duct when the fat enters the small intestine, the gallbladder contracts, the sphincter of hepatopancreatic ampulla relax Common bile duct Major duodenal papilla Biliary ductuli Right and left hepatic ducts Cystic duct Gallbladder (store, concentrate) Thanks! Human Anatomy Department of Anatomy , Jilin University 石岫昆 Xiukun Shi 2006.01.05 * * * * * * * * * * * * * * * ★ Treatment of Renal Failure ★ I. Peritoneal Dialysis 腹膜透析 Mechanical filtering process used to cleanse blood of waste products, draw off excess fluids, and regulate body chemistry when kidneys fail to function properly Peritoneal membrane is used as the filter滤器. ★ 1. Continuous Ambulatory流动的 Peritoneal Dialysis (CAPD) Requires transfer set, connected to bag of dialysate solution; Dialysate solution remains in abdomen for approximately 4 hours after exchange; Process is repeated 3 – 5 times daily; Advantage: No machine, convenient for travel. ★ 2. Continuous Cycling循环 Peritoneal Dialysis (CCPD) Uses a machine that warms solution and cycles it