（可修改）5.心脏解剖.pptVIP

Viewed from above 左右心室横截面 .......... * 181h， 右心室 .......... * 181h， Tricuspid Valve .......... * 181h， Right Ventricular Outflow Tract (RVOT) Pulmonic Valve .......... * 181h， Moderator Band .......... * 181h， Bicuspid/Mitral Valve .......... * 181h， .......... * 181h， Aortic Valve .......... * 181h， 心壁构造 心外膜 最外层Outermost layer 薄层，浆膜Thin, serous membrane 心肌层Myocardium 中层Middle layer 工作心肌Working muscle of heart 心内膜Endocardium 最内层Innermost layer Lines myocardium 心包Pericardium 心包腔Pericardial Sac 内含少量浆膜液Small amount of liquid .......... * 181h， 纤维骨架 纤维骨架 别离心房和心室 为心脏瓣膜提供框架 .......... * 181h， 心脏瓣膜 (房室瓣) 只允许血液从心房单向流向心室 三尖瓣连接 RA 和 RV 二尖瓣连接 LA和 LV 心室压力低于心房压力时，房室瓣开放 .......... * 181h， 心脏收缩期 心脏瓣膜 .......... * 181h， 心脏瓣膜 心脏舒张期 .......... * 181h， 心脏瓣膜〔半月瓣〕 肺动脉瓣：连接RV与PA 主动脉瓣：连接LV 与 Ao Pulmonic Valve Aortic Valve .......... * 181h， 心脏瓣膜在心动周期中的作用 .......... * 181h， 腱索与乳头肌 腱索 腱索连接房室瓣和乳头肌 乳头肌 发自心内膜,连接于腱索 作用 心室收缩迫使房室瓣关闭 乳头肌收缩引起腱索紧张 预防血液从动脉逆向回流至心室 .......... * 181h， 心脏传导系统 Conduction System .......... * 181h， 心脏传导系统组成 窦房结〔SA Node〕 The heart’s main Pacemaker Located near junction of RA and SVC Bachman’s Bundle conducts activation from SA node to LA 结间束〔Internodal Tracts 〕 Conducts activation from SA node across atria 纤维骨架〔Fibrous Skeleton〕 barrier to conduction from atria to ventricles .......... * 181h， 房室结 房室结(AV node ) 位于三尖瓣上方，CS开口前方 冲动从心房经AV 传导到His 束( bundle of His) Traffic Cop Secondary pacemaker of the heart .......... * 181h， AV Delay 的作用 If the ventricles contract when the mitral and tricuspid valves are open, blood tends to go backwards instead of forwards By delaying it 120 to 150 milliseconds, that allows the atria to empty and then the ventricles to contract against closed valves. .......... * 181h， 希氏束 希氏束〔Bundle His〕 Start of Ventricular Conduction System Conducts impulses through septum to bundle branches Normally the sole electrical connection between atria and ventricles .......... * 181h， 束支〔Bundle Branches〕 Down Septum Wall Transmits impulses from the b