Sistem Circulator AML

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    SISTEMUL CIRCULATOR

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    canale tubulare nchise irig esuturilecircul un flux cntinuu lichi!ian" s#nge"res$ecti% li&f'

    Sistemul vascular sanguin inim,vasele sanguine( sngele

    Sistemul limfatic

    noduri limfatice,

    vase limfatice( limfa

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    SISTEMUL CIRCULATOR SANGUIN I)IMA $r$ulsea* s#ngele n

    %ase'

    ARTERELE sg !e la ini& s$reesuturi'

    +ASELE CA,ILARE = legturantre reeaua arterial -i %enas.schi&burile !intre s#nge -i $las&

    /perfuia tisular!0se !esf-arn !ublu sens +E)ELE= sg' !e la esuturi la

    ini&'

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    Circula"ia mare/siste&ic0 1 #Sartra&ificaiile arteireeaua ca$ilar /schi&burile

    !intre s#nge ( esuturi0 reeaua%enas+CS" +CIA$

    Circula"ia mic!/$ul&nar01 #$artera $ul&nar$lni/schi&bul ga*s0reeauaca$ilar 2 %ene $ul&nare

    AS

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    INIMA Org'&uscular 345g" 67 895:&&

    &e!iastinul &i;lciu" ntre cei 3$lni" su$' !e !iafrag&" $st'!e stern" cart' cst. ant' !eesfagul infrabrn-ic" artei!escen!ente" T2 ( T7

    38

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    C'nfigura"ia e(teri'ar!)*an"uri)

    ( crnar( inter%enticular

    ( interatrial"fa"a stern'c'stal!1 zona ventricular+S"+= zona arterial( e&ergena A,"A zona atrialfaa ant'a atriilr"

    auriculul !r" stgfa"a %iafragmatic!( fr& >1

    ( ? a$arin +S += este situat&ai anterir ca +S

    fa"a pulm'nar! rtun;it+aa inimiifaa $steriar a A=" AS.

    ( AS 2 %ene $ul&nare( A$ +CS" +CI" sinusului %ens

    crnarian

    marginea %reapt!/ +CI %#rful ini&ii0v,rful+S ( -cul a$exian s$'I+ ( + i'c

    stg"

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    Rap'rturile inimii1

    fa"a stern'c'stal!( recesul cst@&e!iastinal

    anterir !r" stg( $lnul !r'" stg /&argineaanteriar0

    ( $lastrnul sterncstal/cart'cstale III" I+ +. M+)intercstale" %asele traciceinterne" 0 &'$ectrali" gl'

    &a&ar( chirurgicalB@ $uncii$ericar!ice

    ( in%estigaia clinic ( $ercuie"ascultaie

    aria &atitii abslute /frinter$*iia &arg' $ul&nare>0

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    fa"a %iafragmatic!1( eta;ul su$ra&e*clic al

    ca%'ab!&inale / lb stg' ficat.fun!ul st&acului0

    fa"a pulm'nar!1( $leur" $ln st#ng"( ner%ul frenic( %asele $ericar!frenice

    +aa inimii1( AS( esfagul infrabrn-ic" tr'

    %agal anterir $sterir"arta !escen!ent" %enaa*Dgs" !uctul tracic" T2 ( T7

    ( A$( $ln !r" n' frenic !r"%asele $ericar!frenice !r'

    v,rful inimii1

    ( s$'+ i'c' stg /-cul a$exian0( la c$ii s$' I+ i'c' stg( la btr#ni s$' +I i'c' stg

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    C'nfigura"ia interi'ar!1( $stersu$eriratriile

    ( anterinferir%entriculele

    Septul inimii) interatrial" se$ar A=" AS

    ( 9@2&&

    ( subire n $riunea central/&b' fsei %ale0

    atrioventricular" ntre A= -i +S"

    ( 9": &&

    interventricular,ntre %entricule

    ( $riunea &e&branas/$ster@su$erir0" 9":&&

    ( $riunea &uscular /anter@

    inferiar0" 95 @93&&"

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    ATRIUL $RE-T fr& cubi!al

    peretele anteri'r1( orif. atrio-ventr%al%a

    tricus$i! B

    peretele p'steri'r1( situat ntre orif. VCS *iVCI

    peretele superi'r1( orif. VCS @ a%al%ular

    peretele inferi'r)( orif. VCI( %al%ula se&ilunar

    EUSTACFIO /la ft !iri;ea* sg's$re gaura Gtal0

    ( orif. sinusului venos coronarian

    peretele me%ial)( faa !rea$t a se$tului interatrial

    ( fosa oval

    peretele lateral)( &' $ectinai

    ( orif. pt. urechiua dr

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    ATRIUL ST.NG fr&@cilin!ru trans%ersal

    peretele anteri'r)

    orif. atrio-ventr%al%a bicus$i!peretele p'steri'r)

    ( orif . celor 4 vene pulmonare

    peretele superi'r)( cnc%" !e$ri&at !e %asele

    &ariperetele inferi'r)

    ( nete!

    peretele me%ial)( faa stg a se$tului interatrial

    peretele lateral)( trabeculat" ca%ernsB"

    ( orif. urechiuei stg

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    #ENTRICULII( caracteregenerale1

    anter@inferir !e atrii

    += @ &ai anterir fr& $ira&i!al1

    ba*arif' atri@%entr-i rif arterial/ A",0

    $eretele &uscular grs

    trabecule crnase1

    r!inul I H m. papilari/ba*a se inser $e$ereii" %#rfulcr!a;e ten!inase @

    se inser $e cus$i*i0

    r!inul IIse inser$e $erei

    r!inul IIIrelief scul$tat/983 ant ( %#rful %entriculului

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    #ENRICULUL $RE-T fr&a ( $ira&i! triunghiular

    /aa)

    ( orif. V dr( %al%a tricus$i!( orif. !@ %al%a se&ilunar

    #,rf)( trabecule !e r!in I" II

    -erete anteri'r)

    ( muchiul papilar ordin I-erete me%ial)

    ( se$tul inter%entricular

    -erete inferi'r)( < &' $a$ilari scuri

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    #ENTRICULUL ST.NG/aa)

    ( orif. aortic %al%e se&ilunare

    ( orif. atrioventr %al%a &itral#,rf)

    ( trabecule !e r!in II" III

    -erete septal)( se$tul inter%entricular

    -erete p'ster'0lateral)( M' $a$ilar su$erir /anterir0

    ( M' $a$ilar inferir /$sterir0

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    f'carele %e asculta"ie1 *g&tele se$r$ag $e !irecia curentuluisanguin. se au! la !istan !elcul !e $r!ucere

    arta s$'II ic' !re$t

    $ul&nara s$'II ic'st#ng

    &itrala %#rful ini&ii/-cul a$exian0

    tricus$i!a sterncartila;ul cstal +I

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    structura1

    ( pericard1 fibrs" sers

    ( miocard( &u-chi striat ( :555

    ca$ilare 8 &&3" artere !e tipterminal infarctul miocardic

    ( endocard( c$tu-e-te&icar!ul

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    %asculari*aie1

    artera crnar st#ng

    artera crnar !rea$t

    sinus venos coronar

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    iner%aia 1

    $arasi&$atic/ J 0

    si&$aticple(ul car%iac

    ple"urile coronariene dr # stg $arasi&$atic

    car!i@inhibitr

    si&$atic

    car!i@acceleratr