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Áåñïëàòíàÿ òåõíè÷åñêàÿ áèáëèîòåêà äëÿ ëþáèòåëåé è ïðîôåññèîíàëîâ Áåñïëàòíàÿ òåõíè÷åñêàÿ áèáëèîòåêà


Àíãëèéñêèé ÿçûê äëÿ ìåäèêîâ. Thoracic wall (êîíñïåêò ëåêöèé)

Êîíñïåêòû ëåêöèé, øïàðãàëêè

Ñïðàâî÷íèê / Êîíñïåêòû ëåêöèé, øïàðãàëêè

Êîììåíòàðèè ê ñòàòüå Êîììåíòàðèè ê ñòàòüå

Îãëàâëåíèå (ðàçâåðíóòü)

ËÅÊÖÈß ¹ 14. Thoracic wall

There are 12 thoracic vertebrae. The vertebrae have facets on their bodies to articulate with the heads of ribs; each rib articulates with the body of the numerically corresponding vertebra and the one below it. The thoracic vertebrae have faces on their transverse processes to articulate with the tubercles of the numerically corresponding ribs. Sternum: the manubrium articulates with the clavicle and the first rib. It meets the body of the sternum at the sternal angel an important clinical landmark.

The body articulates directly with ribs 2-7; it articulates interiorly with the xiphoid process at the xiphisternal junction. The xiphoid process is cartilaginous at birth and usually ossifies and unites with the body of the sternum around age 40.

Ribs and costal cartilages: there are 12 pairs of ribs, which are attached posteriorly to thoracic vertebrae.

Ribs 1-7 are termed "true ribs" and attach directly to the sternum by costal cartilages.

Ribs 8-10 are termed "false ribs" and attach to the costal cartilage of the rib above. Ribs 11 and 12 have no anterior attachments, and are therefore classified as both "floating ribs" and false ribs. The costal groove is located along the inferior border of each rib and provides protection for the intercostal nerve artery, and vein, ribs 1, 2, 10, 11, and 12 are atypical. Muscles: external intercostal muscles.

There are 11 pairs of external intercostal muscles. Their fibers run anteriorly and inferiorly in the intercostal spaces from the rib above to the rib below.

These muscles fill the intercostal spaces from the tubercles of ribs posteriorly to the costochondral junctions anteriorly; they are replaced anteriorly by external intercostal membranes. Internal intercostal muscles: there are 11 pairs of internal intercostal muscles. Their fibers run posteriorly and inferiorly in the intercostal spaces deep to the external layer.

These muscles fill the intercostal spaces anteriorly from the sternum to the angles of the ribs posteriorly; they are replaced posteriorly by internal intercostal membranes.

Innermost intercostal muscles: the deep layers of the internal intercostal muscles are the innermost intercostal muscles.

These muscles are separated from the internal intercostal muscles by intercostal nerves and vessels.

Subcostalis portion: Fibers extend from the inner surface of the angle of one rib to the rib that is inferior to it.

Fibers may cross more than one intercostal space, Transversus tho-racis portion: Fibers attach posteriorly to the sternum. Fibers cross more than one intercostal space.

Internal thoracic vessels, branches of the subclavian arteries, run anterior to these fibers. Intercostal structures

Intercostal nerves: there are 12 pairs of thoracic nerves, 11 intercostal pairs, and 1 subcostal pair.

Intercostal nerves are the ventral primary rami of thoracic spinal nerves. These nerves supply the skin and musculature of the thoracic and abdominal walls.

Intercostal arteries: there are 12 pairs of posterior and anterior arteries, 11 intercostal pairs, and 1 subcostal pair.

Anterior intercostal arteries.

Pairs 1-6 are derived from the internal thoracic arteries.

Pairs 7-9 are derived from the musculophrenic arteries.

There are no anterior intercostal arteries in the last two spaces; these spaces are supplied by branches of the pos terior intercostal arteries.

Posterior intercostal arteries: the first two pairs arise from the superior intercostal artery, a branch of the costocervical trunk of the subcla vian artery.

Nine pairs of intercostal and one pair of subcostal arter ies arise from the thoracic aorta.

Intercostal veins: Anterior branches of the intercostal veins drain to the internal thoracic and musculophrenic veins.

Posterior branches drain to the azygos system of veins.

Lymphatic drainage of intercostal spaces: anterior drainage is to the internal thoracic (parasternal) nodes.

Posterior drainage is to the paraaortic nodes of the poste rior mediastinum.

New words

thoracic - ãðóäíîé

wall - ñòåíêà

below - ïîä

sternum - ãðóäèíà

clavicle - êëþ÷èöà

xiphisternal - ãðóäèííûé

true - ïðàâäèâûé

false - ôàëüøèâûé

groove - óãëóáëåíèå

above - íàä

anteriorly - ðàíüøå

intercostal - ìåæðåáåðíûé

subcostal - ïîäêîñòíûé

portion - ÷àñòü

transversus - ïîïåðå÷íûé

musculophrenic - ìûøå÷íûé ãðóäîáðþøíîé

paraaortic - ïàðààîðòàëüíûé

mediastinum - ñðåäîñòåíèå

Çàïîìíèòå ñëåäóþùåå çàñòûâøåå ñëîâîñî÷åòàíèå.

I to watch _ TV

Åñëè ïåðåä ñóùåñòâèòåëüíûì ñòîèò âîïðîñèòåëüíîå èëè îòíîñèòåëüíîå ìåñòîèìåíèå, àðòèêëü îïóñêàåòñÿ.

E. g. What colour is your cat?

I want to know what _ book you are reading.

Çàïîëíèòå ïðîïóñêè, ãäå íåîáõîäèìî.

1. My... aunt and my... uncle are... doctors.

2. They work at... hospital.

3. They get up at seven o'clock in... morning.

4. They go to... bed at eleven o'clock.

5. I work in... morning and in. after noon.

6. I don't work in... evening. I sleep at... night.

7. When do you leave... home for... school?

8. I leave... home at... quarter past eight in... morning.

9. What does your mother do after... breakfast?

10. She goes to... work.

11. Is there... sofa in your... living-room?

12. Yes, there is... cosy little... sofa in... living-room.

13. Where is... sofa? - It is in... corner of... room to... left of... door.

14. I like to sit on this... sofa in... front of... TV-set in... evening.

15. There is... nice coffee-table near... window.

16. There are... newspapers on... coffee-table.

17. There is... tea in... glass.

18. When do you watch... TV? - I watch TV in... evening.

19. We have... large colour TV-set in our... room.

20. There is. beautiful vase on... TV-set. There are... flowers in... vase.

Answer the questions.

1. How many thoracic vertebrae are there?

2. What does each rib articulate with?

3. What does the manubrium articulates with?

4. With how many ribs does the body articulates directly?

5. How many pairs of ribs are there?

6. How are termed ribs 1-7?

7. How are termed ribs 8-10?

8. How are classified ribs 11-12?

9. How many pairs of thoracic nerves are there?

10. What does intercostal nerves supply?

Make the sentences of your own using the new words (10 sentences).

Find the definite and indefinite articles in the text.

Àâòîð: Åëåíà Áåëèêîâà

<< Íàçàä: Neck

>> Âïåðåä: Blood

Ðåêîìåíäóåì èíòåðåñíûå ñòàòüè ðàçäåëà Êîíñïåêòû ëåêöèé, øïàðãàëêè:

Ìåæäóíàðîäíûå ñòàíäàðòû àóäèòà. Øïàðãàëêà

Îñíîâû ñîöèàëüíîé ðàáîòû. Øïàðãàëêà

Ýêîíîìèêà ïðåäïðèÿòèÿ. Øïàðãàëêà

Ñìîòðèòå äðóãèå ñòàòüè ðàçäåëà Êîíñïåêòû ëåêöèé, øïàðãàëêè.

×èòàéòå è ïèøèòå ïîëåçíûå êîììåíòàðèè ê ýòîé ñòàòüå.

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Êàê ïðàâèëî, æèâûå êëåòêè âûðàùèâàþò â ñòàòè÷åñêèõ óñëîâèÿõ: íóæíû òîëüêî ÷àøêè Ïåòðè è ìèíèàòþðíûå 3D-êàðêàñû. Ðàíåå áûëî äîêàçàíî, ÷òî âûðàùèâàòü òêàíü ìîæíî è íà äâèæóùèõñÿ ñòðóêòóðàõ, òàêèõ êàê øàðíèðû. Îäíàêî îíè ðàñòÿãèâàëè èëè èçãèáàëè òêàíü òîëüêî â îäíîì íàïðàâëåíèè. Íî èññëåäîâàòåëè èç Îêñôîðäñêîãî óíèâåðñèòåòà è ðîáîòîòåõíè÷åñêîé ôèðìû Devanthro ðåøèëè, ÷òî äëÿ ñîçäàíèÿ òêàíåé, ñïîñîáíûõ äâèãàòüñÿ è èçãèáàíèÿ, ëó÷øå âñåãî âîññîçäàòü èõ åñòåñòâåííóþ ñðåäó ðîñòà êàê ìîæíî òî÷íåå. Ïîýòîìó êîìàíäà ó÷åíûõ ðåøèëà èìèòèðîâàòü ñêåëåòíî-ìûøå÷íóþ ñèñòåìó ÷åëîâåêà ñ ïîìîùüþ ðîáîòà.

Ó÷åíûå àäàïòèðîâàëè ñêåëåò ðîáîòà ñ îòêðûòûì èñõîäíûì êîäîì è ñîçäàëè ñïåöèàëüíóþ ñðåäó äëÿ âûðàùèâàíèÿ êëåòîê (áèîðåàêòîð) íà íåì òàê, ÷òîáû îíè ãíóëèñü è ðàñòÿãèâàòü âî âñåõ íóæíûõ íàïðàâëåíèÿõ.

Äëÿ ýòî áûë âûáðàí ïëå÷åâîé ñóñòàâ. Çàòåì èññëåäîâàòåëè ñîçäàëè áèîðåàêòîð, êîòîðûé ìîæíî ðàçìåñòèòü íà èñêóññòâåííîì ïëå÷å ñ ïîìîùüþ áèîðàçëàãàåìûõ íèòåé, íàòÿíóòûõ ìåæäó äâóìÿ îïîðíûìè òî÷êàìè, ñëîâíî ïó÷îê âîëîñ. Çàòåì âñÿ ýòà ñòðóêòóðà áûëà çàêëþ÷åíà âî âíåøíþþ ìåìáðàíó, ïîõîæóþ íà âîçäóøíûé øàð.

Çàòåì òîíêèå íèòè çàñåÿëè ÷åëîâå÷åñêèìè êëåòêàìè, à êàìåðó ñ ïëå÷îì çàïîëíèëè áîãàòîé ïèòàòåëüíûìè âåùåñòâàìè æèäêîñòüþ, ïðåäíàçíà÷åííîé äëÿ ñòèìóëèðîâàíèÿ ðîñòà. Êëåòêè âûðàùèâàëè â òå÷åíèå äâóõ íåäåëü è åæåäíåâíîãî èõ "òðåíèðîâàëè" â òå÷åíèå 30 ìèíóò.

Êîìàíäà îòìåòèëà ðàçíèöó ìåæäó òðåíèðóþùèìèñÿ êëåòêàìè è âûðàùåííûìè â ñòàòè÷åñêîé ñðåäå. Îäíàêî èññëåäîâàòåëè åùå íå óâåðåíû, áûëè ëè ýòè èçìåíåíèÿ ïîëåçíûìè.

Ðàçëè÷èÿ áûëè îñíîâàíû íà èçìåðåíèè àêòèâíîñòè è ðîñòà îïðåäåëåííûõ ãåíîâ. È îíè áûëè, â ëó÷øåì ñëó÷àå, íåîäíîçíà÷íûìè ñ òî÷êè çðåíèÿ áóäóùåãî ìåäèöèíñêîãî ïðèìåíåíèÿ.

Ó÷åíûå ïîêàçàëè, ÷òî âûðàùèâàíèå æèâûõ êëåòîê íà ðîáîñêåëåòå âîçìîæíî. Òåïåðü èì ïðåäñòîèò âûÿñíèòü, åñòü ëè îò ýòîãî ïîëüçà. Ïîòåíöèàëüíî, ÷òî â áóäóùåì äàííûå ïàöèåíòîâ ìîæíî áóäåò èñïîëüçîâàòü äëÿ ñîçäàíèÿ òî÷íûõ êîïèé èõ òåë, ÷òî ïîçâîëèò âûðàùèâàòü ðàçíûå òêàíè äëÿ ïðîâåäåíèÿ îïåðàöèé íà êîïèÿõ ÷åëîâåêà.

Äðóãèå èíòåðåñíûå íîâîñòè:

▪ Âîñïðîèçâåäåí àðîìàò åãèïåòñêîé ìóìèè

▪ Ñèëîâîå ïîëå äëÿ çàùèòû òðàíñïîðòíûõ ñðåäñòâ

▪ Ãîëîäíîãî ìèêðîá íå òðîíåò

▪ Íåóÿçâèìûå äèñïëåè îò LG

▪ Ó÷åáíèêè äîëæíû ÷èòàòüñÿ ñ òðóäîì

Ëåíòà íîâîñòåé íàóêè è òåõíèêè, íîâèíîê ýëåêòðîíèêè

 

Èíòåðåñíûå ìàòåðèàëû Áåñïëàòíîé òåõíè÷åñêîé áèáëèîòåêè:

▪ ðàçäåë ñàéòà Êîíñïåêòû ëåêöèé, øïàðãàëêè. Ïîäáîðêà ñòàòåé

▪ ñòàòüÿ Ñïîñîáû äîáû÷è è îáåççàðàæèâàíèÿ âîäû â óñëîâèÿõ àâòîíîìíîãî ñóùåñòâîâàíèÿ. Îñíîâû áåçîïàñíîé æèçíåäåÿòåëüíîñòè

▪ ñòàòüÿ Êîãäà ìóæ÷èíû íà÷àëè íîñèòü êîðîòêèå ñòðèæêè? Ïîäðîáíûé îòâåò

▪ ñòàòüÿ Ëóê-øàëîò. Ëåãåíäû, âûðàùèâàíèå, ñïîñîáû ïðèìåíåíèÿ

▪ ñòàòüÿ Ïðîáíèê-ãåíåðàòîð. Ýíöèêëîïåäèÿ ðàäèîýëåêòðîíèêè è ýëåêòðîòåõíèêè

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