H TUN HON

NH NGHA
- Tun hon: s lu thng mu trong c

th din ra trong mt vng kn, theo mt

chiu v mang tnh chu k
- Gm

+ Tim
+ H thng mch mu

MCH MU
1. ng mch
- Nhn mu t tim ra
2. Tnh mch
- a mu v tim
3. Mao mch
- H thng mch mu c kch thc nh
cc m, c quan, t chc

TIM
Tim l mt khi c rng

1. V tr: trong lng ngc, gia hai l phi

TIM
2. Hnh th ngoi

- 260 270 g
- Hng

- Th cht chc

- 3 mt: trc, di, tri

nh

TIM
3. Hnh th trong
- 4 bung
- Vch lin nh
- Vch lin tht
Tm nh (T)
Tm nh (P)
Tm tht (T)
Tm tht (P)

TIM
3. Hnh th trong
- 4 van tim

Van ng mch phi

Van nh tht phi

Van ng mch ch
Van nh tht tri

TIM
3. Hnh th trong
- 4 van tim
Van nh tht phi
3 l

Van nh tht tri

2 l

Van ng mch ch
3 l
Van ng mch phi
3 l

TIM
3. Hnh th trong
- 4 mch mu ni vo 4 bung tim
Tnh mch ch

ng mch ch
ng mch phi
Tnh mch phi

TIM
4. Thnh tim
- 3 lp
+ Mng ngoi: l thnh, lp dch nhy, l tng
+ Gia: c tim
+ Mng trong: mng
Mng ngoi

C tim

L thnh
Dch nhy

L tng

Mng trong

TIM
5. Mch mu nui tim
- ng mch vnh tri, phi

- Nu tc nhi mu c tim

TIM
6. Thn kinh tim
- Thn kinh chi phi tim l nhnh tch ra t m
ri tim phi do dy ph v v dy giao cm hp
thnh

TIM
6. Thn kinh tim
H thng thn kinh t ng
trong c tim = h thng nt,
gm:
- Nt xoang: chnh, iu
khin nhp tim
- Nt Tawara: ph
- B his: t nt Tawara, chy
dc vch lin tht, chia
nhnh i vo tm tht
dn truyn

VNG TUN HON

Gm
1. Vng i tun hon
- L h tun hon dinh dng
- Vn chuyn dinh dng v oxy n cc c quan
2. Vng tiu tun hon
- L h tun hon chc nng

- a mu ln phi thc hin trao i kh

VNG TUN HON

Phi
CO2

O2
Tnh mch phi

Tnh mch ch
NT

NP

ng mch ch
TP

TT

ng mch phi
Tim

C quan
(mao mch)
O2

CO2

CHU CHUYN TIM

Chu chuyn tim = mi ln co bp tim

- TB: 75 nhp/pht
- Tr em: 120 140 nhp/pht
C 3 th

1. Th tm nh thu

2. Th tm tht thu
3. Th tm trng ton b

CHU CHUYN TIM

1. Th tm nh thu
- 2 tm nh co bp trong 0,1 giy, van nh tht m,
mu t tm nh xung tm tht
- 2 tm nh ngh 0,7 giy, van nh tht ng, mu

t tnh mch v tm nh

CHU CHUYN TIM

2. Th tm tht thu
- 2 tm tht co bp trong 0,3 giy tng p lc

- 2 van nh tht ng, 2 van ng mch m

- Mu c y vo ng mch

CHU CHUYN TIM

3. Th tm trng
- 4 bung tim dn trong 0,4 giy
- p lc tm tht gim bng tm nh th van nh

tht m ra bt u mt chu chuyn mi

TUN HON NG MCH

Huyt p

- Sc p ca mu ln thnh mch
- Tnh n hi ca thnh mch
Huyt p ti a = huyt p tm thu

Th hin sc co bp tim
TB: 90 - 140 mmHg
Huyt p ti thiu = huyt p tm trng

Th hin sc cn ca thnh mch

TB: 60 90 mmHg

TUN HON NG MCH

Yu t nh hng

- Tim co bp
- S n hi ca mch mu
- Th cht v khi lng mu

TUN HON TNH MCH

Mu chy chm, p lc thp, cng gn

tim cng nh
Mu chy 1 chiu v tim nh sc ht

ca tim, tm nh, lng ngc v h thng

van tnh mch
HA tnh mch tng nu suy tim phi

TUN HON MAO MCH

Mu chy chm, u
p lc thp
L ni din ra qu trnh trao i cht vi

c quan, m, t bo

HT