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1、Outline讲授大纲概述Introduction腹壁层次Thelayersoftheabdominalwall腹壁的重要局部Theimportantregionsofabdominalwall腹腔、腹膜及腹膜腔Abdominalcavity,peritoneumandperitonealcavity腹腔重要脏器局解Theimportantorgansofabdominalcavity胃;肝脏;肝外胆道;肾脏腹腔、腹膜和腹膜腔(Abdominalcavity,PeritoneumandPeritonealcavity)基本
2、概念:腹腔腹膜(壁腹膜和脏腹膜)腹膜腔TheintroductionoftheperitoneumDefinitionTheperitoneumisathinserousmembranethatlinesthewallsoftheabdominalandpelviccavitiesandcovertheorganswithinthetwocavitiesSubdivisionsandperitonealcavityParietalperitoneum壁腹膜-linesthewallsoftheabdominalandpel
3、viccavitiesVisceralperitoneum脏腹膜-coverstheorgansPeritonealcavity腹膜腔-thepotentialspacebetweentheparietalandviscerallayerofperitoneum.Isthereanyorgansintheperitonealcavity?Theperitonitisisverycommonforfemale!Formale,itisaclosedsac.Butforfemale,thereisacommunicationw
4、iththeexteriorthroughtheuterinetubes,theuterus,andthevagina.FunctionSecretesalubricatingserousfluidthatcontinuouslymoistenstheassociatedorgansSupportandprotectviscusSemipermeablemembrane(Peritonealdialysis)AbsorptionTherelationshipbetweenvisceraandperitoneumIntrap
5、eritonealvisceraInterperitonealvisceraRetroperitonealvisceraIntraperitonealviscera腹膜内位器官-visceracompletelysurroundedbyperitoneum,example,stomach,superiorpartofduodenum,jejunum,ileum,cecum,vermiformappendix,transverseandsigmoidcolons,spleenandovaryInterperitonealvi
6、scera腹膜间位器官-mostpartofviscerasurroundedbyperitoneum,example,liver,gallbladder,ascendinganddescendingcolons,upperpartofrectum,urinarybladderanduterusRetroperitonealviscera腹膜外位器官-someorganslieontheposteriorabdominalwallandarecoveredbyperitoneumontheiranteriorsurface
7、sonly,example,kidney,suprarenalgland,pancreas,descendingandhorizontalpartsofduodenum,middleandlowerpartsofrectum,andureterStructuresformedbyperitoneumOmentum网膜ThefoldofperitoneumthatextendsfromtwocurvaturesofstomachtoadjacentorgansLesseromentum小网膜two-layeredfoldof
8、peritoneumwhichextendsfromportahepatistolessercurvatureofstomachandsuperiorpartofduodenum.Greateromentum大网膜-four-layeredfoldofperitoneum,theanteriortwol