BS. NGUYN TRNG K BM. GII PHU HC Email: kynguyen315@gmail.com Fb: www.facebook.com/nguyentruongky Din n: www.facebook.com/groups/giaiphauhoc www.facebook.

com/giaiphau

MC TIU
1. Trnh by c cc thnh phn ca h h hp 2. Nu c cc c im gii phu ca thanh qun

3. Trnh by c cc c im gii phu ca kh qun

4. Trnh by c cc c im gii phu ca phi 5. Nu ln c cc c im gii phu ca mng phi

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I CNG
H h hp: cung cp

O2 v thi CO2 Gm:

H thng dn kh:

mi, hu, thanh qun, kh qun, ph qun H thng trao i kh: phi gm nhiu ph nang

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THANH QUN
Ni hu trn v

kh qun di Chc nng: dn kh v pht m Gm cc sn, cc dy chng, cc mng, cc c v lp nim mc

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THANH QUN
SN THANH QUN
Sn chnh (5): sn gip,

sn nhn, sn phu, sn np thanh mn, sn sng Sn ph (2): sn chm, sn thc Sn n (3): sn gip, sn nhn, sn np thanh mn Sn i (4): sn phu, sn sng, sn thc, sn chm
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THANH QUN
SN GIP
Sn ln nht Mt ngoi: c gip trn,

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c gip di ng cho B trn: khuyt gip trn B di: khuyt gip di B trc: li thanh qun ( qu to Adam), gc 90 (nam), 120 (n) B sau: sng trn, sng di
7

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THANH QUN
SN NHN

Sn duy nht ca thanh

qun l mt vng sn trn vn Hnh dng ging chic nhn Di sn gip, trn vng sn kh qun 1

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THANH QUN
DY CHNG, MNG
Nhm ngoi li: mng

gip mng, dc mng np, dc li np, dc sng hu Nhm ni ti: dc gip np, dc nhn phu sau, mng t gic, nn n hi

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THANH QUN
C THANH QUN
C ngoi lai v c ni ti C ni ti: C phu np C nhn phu sau C phu cho v ngang C nhn gip C nhn phu bn C thanh m C gip np C gip phu
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THANH QUN
C THANH QUN
C ngoi lai v c ni ti C ni ti: C phu np C nhn phu sau C phu cho v ngang C nhn gip C nhn phu bn C thanh m C gip np C gip phu
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THANH QUN
C THANH QUN
C ngoi lai v c ni ti C ni ti: C phu np C nhn phu sau C phu cho v ngang C nhn gip C nhn phu bn C thanh m C gip np C gip phu
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THANH QUN
HNH TH TRONG
Tin nh thanh qun

L thanh qun

Sn np thanh mn Xng mng

C gip mng

C np

Np tin nh

Thanh tht
Np thanh m Sn gip di thanh mn C nhn gip Sn nhn Kh qun

Np tin nh v np thanh m chia thanh qun lm 3 tng: Tin nh thanh qun: trn np tin nh, hai np tin nh khe tin nh Thanh tht: gia np tin nh v np thanh m, dc thanh m, c thanh m, gia 2 dy thanh m l khe thanh mn di thanh mn: di dc thanh m
13

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THANH QUN
MCH MU
ng mch li

m thanh qun

ng mch thanh qun trn

ng mch gip trn ng mch trn v di mng

Nhnh sn gip

Cc nhnh cho tuyn

ng mch nhn gip Nhnh sn nhn

ng mch cnh chung

Tuyn gip

ng mch gip di

trn t m gip trn, chui qua mng gip mng m thanhh qun di t m gip di, chui qua mng nhn gip Tm thanh qun trn v tm thanh qun di
14

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THANH QUN
THN KINH
TK thanh qun trn:

cm gic trn np thanh m, v c nhn gip TK thanh qun di: cm gic di np thanh m, v tt c cc c ni ti thanh qun ( tr c nhn gip)

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15

KH QUN
Ni thanh qun trn
Sn gip

Sn nhn

Kh qun

Ph qun chnh phi

Ph qun chnh tri

Ph qun thy trn

v ph qun di Sn kh qun c hnh C, pha sau c ph bng mt lp c trn C khong 16-20 sn kh qun n N4-N5: kh qun chia thnh PQ chnh P v T PQ chnh phi ngn hn, dc hn, k ln hn d vt bn phi
16

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KH QUN
LIN QUAN C
Tuyn gip C trn kh qun Bao cnh Thn kinh qut ngc thanh qun Thc qun Kh qun ng mch cnh chung Tnh mch cnh trong

Thn kinh lang thang

Thn giao cm c

Hnh 11: Thit ct ngang t sng c

Pha trc: eo tuyn gip dnh chc vo vng sn 2, 3, 4

Pha sau: thc qun, tk qut ngc thanh qun nm

trong vch gia thc qun v kh qun Hai bn: ng mch cnh chung, tnh mch cnh trong, thn kinh lang thang
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KH QUN
LIN QUAN NGC
Trc: cung m

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ch, thn m cnh tay u, m cnh chung tri, tuyn c Sau: thc qun Bn phi: tk lang thang, cung tm n, tm ch trn, mng phi trung tht, phi phi Bn tri: cung m ch, m di n tri, tk qut ngc thanh qun tri
19

KH QUN
MCH MU, THN KINH
M gip di: nhnh

ca thn gip c t m di n m gip trn: nhnh ca m cnh ngoi m ph qun: t m ch Tk : hch giao cm c v cc tk qut ngc thanh qun
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PHI
HNH TH NGOI
Mi phi nh mt

na hnh nn:
mt nh

mt y
hai mt: mt sn,

mt trung tht hai b: b trc v b di

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21

PHI
NH V Y PHI
nh phi: phn nhu m

phi nh ln khi l trn lng ngc. im cao nht ca nh phi cao hn on 1/3 gia xng n khong 2,5 -3 cm y phi p st vm honh, qua vm honh lin quan vi cc tng trong bng: gan, y v, lch, i trng gc lch
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PHI
MT SN
p st vo mt trong

thnh ngc c cc n sn Phi phi: c khe chch v khe ngang, chia ra thnh 3 thy: trn, gia,di Phi tri: ch c khe chch, chia ra thnh 2 thy: trn, di. C thm li phi tri
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24

PHI
MT TRUNG THT
C rn phi, vt n

ca cc cu trc ln cn:
rnh m di n
rnh thn tm cnh

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tay u Rnh tm n ( phi P) Rnh m ch (phi T) n tim ( phi P) v h tim (phi T)

25

PHI
MT TRUNG THT
C rn phi, vt n

ca cc cu trc ln cn:
rnh m di n
rnh thn tm cnh

tay u Rnh tm n ( phi P) Rnh m ch (phi T) n tim ( phi P) v h tim (phi T)

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PHI
RN PHI
L ni cc thnh phn

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cung phi i qua: PQ chnh, m phi, 2 tm phi, m ph qun, tm ph qun, cc dy tk v hch bch huyt Phi: m phi nm trc PQ chnh Tri: m phi nm trn PQ chnh Hai tm phi nm trc v di Di rn phi, mng phi chp lidc phi
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PHI
B DI V B TRC
B trc l ranh gii

gia mt sn v mt trung tht B trc phi tri c khuyt tim B di l ranh gii gia y phi vi mt sn v mt trung tht

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PHI
S PHN CHIA CY PH QuN
PQ chnh PQ

thyPQ phn thy PQ h phn thy PQ tiu thy: dn kh cho 1 tiu thy phi Tiu thy phi l n v c s ca phi, c hnh a gic to nh khc nhau trn b mt phi
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PHI
MCH MU PHI
Gm 2 h mch mu: Mch mu phi: vn chuyn mu t oxy n ph nang, mang mu giu oxy v tim tri Mch mu ph qun: cung cp mu cho cc vng nhu m phi
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PHI
MCH MU PHI
Thn m phi: t l m

phi chy ln trn ra sau. n b sau quai m ch m phi P v T m phi P: i vo rn phi, trc PQ, xon xung quanh PQ, cho ra cc nhnh i vo thy, phn thy tng ng m phi T: ngn v nh hn m phi P, i vo rn phi trn PQ, cho ra cc nhnh vo cc thy v phn thy tng ng
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PHI
TNH MCH PHI
Mi phi c 2 tm phi, dn

mu t cc mao mch phi v nh tri Trong nhu m phi, tm phi i hon ton c lp vi m phi v ph qun PQ, m i trong phn thy phi. TM i gia cc phn thy, nhn mu t cc phn thy k cn, mi phn thy c th dn lu bi nhiu tm phi
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PHI
NG MCH PH QUN
Cung cp mu cho nhu

m phi Bn phi: m xut pht t m gian sn sau th 3 Bn tri: m xut pht t cung m ch

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34

PHI
TNH MCH PH QUN
Tm dn lu cho

PQ on ngoi phi s v nh phi thng qua tm n, tm bn n ph Tm dn lu cho ng th on trong phi li thng ni vi tm phi v v tim tri.
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MNG PHI
Gm mng phi thnh v

mng phi tng Mng phi tng: dnh cht vo nhu m phi, lch vo cc khe gian thy phi. rn phi, mng phi tng qut ngc ra lin tc vi mng phi thnh Mng phi thnh che ph mt trong lng ngc, mt trn c honh, v cc cu trc trung tht
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MNG PHI
MNG PHI THNH
MP sn: lt mt trong x.

c, x. sn, c ngang ngc, c gian sn, c cnh bn ct sng. MP sn ngn cch vi thnh ngc bi mc ni ngc MP honh: lt mt trn c honh MP c: MP che ph nh phi MP trung tht: gii hn mt bn ca trung tht. Che ph tim, mm ln, KQ, tk X, tk honh, ng ngc, TQ
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MNG PHI
MNG PHI THNH
Ngch mng phi: gc

nh din hp bi 2 phn mng phi thnh Ngch sn honh Ngch sn trung tht

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MNG PHI
MNG PHI
L mt khoang o, nm

gia mng phi thnh v mng phi tng Bnh thng: p sut trong mng phi l p sut m hai mp p st nhau, cha 1 t dch2 mp trt ln nhau Nu thng, gy nn trn khi mp
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CU HI LNG GI
Cu 1: sn thanh qun no KHNG phi l sn i: a) Sn gip b) Sn phu c) Sn thc d) Sn chm e) Tt c u sai

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Cu 2: chn cu ng nht,d vt hay ri vo ph qun chnh phi v : a) PQ chnh phi ngn hn PQ chnh tri b) PQ chnh phi dc hn PQ chnh tri c) PQ chnh phi ng knh ln hn PQ chnh tri d) Tt c u ng e) Tt c u sai

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Cu 3: chn cu ng a) Phi phi ch c khe ngang b) Phi tri ch c khe ngang c) Phi phi c khe ngang v khe chch d) Phi tri c khe ngang v khe chch e) Phi phi ch c khe chch

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Cu 4: chn cu ng nht v rn phi: a) L ni cc thnh phn cung phi i qua b) Hai tnh mch phi nm trc v di ph qun chnh c) Rn phi phi c ng mch phi nm trc ph qun chnh d) Rn phi tri c ng mch phi nm trn ph qun chnh e) Tt c u ng

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Cu 5: chn cu ng nht: a) Mng phi gm mng phi thnh v mng phi tng b) Mng phi thnh gm mng phi c, mng phi sn, mng phi trung tht, mng phi honh c) Gc nh din hp bi 2 phn mng phi thnh gi l ngch mng phi d) mng phi l mt khoang o e) Tt c u ng
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CHC CC BN MT NGY VUI V!

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