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1、 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
2、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
3、.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
4、 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. Cr
5、eated 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
6、 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
7、 .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 Profil
8、e 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.
9、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. Copy
10、right 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
11、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.
12、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 o
13、nly. 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
14、-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 2004-2
15、011 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
16、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.
