脊神經(jīng)神經(jīng)系統(tǒng)第十八章周圍神經(jīng)系統(tǒng)第一節(jié)脊神經(jīng)概述叢叢三、胸神經(jīng)前支五腰骶叢叢六、皮神經(jīng)分布的節(jié)段性和重疊性特點(diǎn)第二節(jié)腦神經(jīng)第三節(jié)內(nèi)臟神經(jīng)系統(tǒng)8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)1脊神經(jīng)腦神經(jīng)周圍神經(jīng)脊神經(jīng)軀體神經(jīng)周圍神經(jīng)內(nèi)臟神經(jīng)感覺神經(jīng)(傳入神經(jīng))周圍神經(jīng){運(yùn)動(dòng)神經(jīng)(傳出神經(jīng))8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)2脊神經(jīng)神經(jīng)在周圍神經(jīng)系統(tǒng)中,神經(jīng)纖維聚集構(gòu)成神經(jīng)神經(jīng)束膜神經(jīng)束神經(jīng)外膜神經(jīng)束血管神經(jīng)纖維神經(jīng)束膜施萬(wàn)細(xì)胞核神經(jīng)外膜髓鞘神經(jīng)外膜血管8年劇《系統(tǒng)解測(cè)學(xué)脊神經(jīng)3脊神經(jīng)脊神經(jīng)節(jié)神經(jīng)節(jié){腦神經(jīng)節(jié)內(nèi)臟運(yùn)動(dòng)神經(jīng)節(jié)神經(jīng)節(jié)細(xì)胞脊神經(jīng)節(jié)8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)4脊神經(jīng)第一節(jié)脊神經(jīng)概述ⅣvⅥⅦ(一)脊神經(jīng)的構(gòu)成、分部和纖維分布前根—運(yùn)動(dòng)后根—感覺31對(duì)IⅡⅢⅣVⅥⅦⅧⅨXⅪⅫc(diǎn)8T12L5S5Co1IⅡmⅣv8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)5維成分(二)脊神經(jīng)的分支軀體感覺纖維1.前支內(nèi)臟感覺纖維2.后支軀體運(yùn)動(dòng)纖維3.交通支:白交通支、灰交通支內(nèi)臟運(yùn)動(dòng)纖維4.脊膜支后根脊神經(jīng)節(jié)前根肌梭灰交通支白交通支腹腔神經(jīng)節(jié)皮膚交感干神經(jīng)節(jié)骨胳肌血管內(nèi)臟8年劇《系解測(cè)學(xué)》維成分6神經(jīng)二、頸叢)頸叢的組成和位置:C1-C4前支(二)頸叢的分支:枕小神經(jīng)皮支:胸鎖乳突肌后緣中點(diǎn)耳大神經(jīng)1.枕小神經(jīng)(C2)頸橫神經(jīng)2.耳大神經(jīng)(C2,C3)3.頸橫神經(jīng)(C2,C,)鎖骨上神經(jīng)4.鎖骨上神經(jīng)(C3,C)8年劇《系統(tǒng)解測(cè)學(xué)》神經(jīng)7脊神經(jīng)肌支支配頸部深層肌、肩胛提肌、舌骨下肌群和膈5.膈神經(jīng)(C3-C枕小神經(jīng)耳大神經(jīng)頸橫神經(jīng)C1的前支膈神經(jīng)pc2的前支C3的前支C的前支頸襻膈神經(jīng)鎖骨上神經(jīng)8年制《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)8脊神經(jīng)臂叢()臂叢的組成和位置:C5-C3,T前支斜角肌間隙(二)臂叢的分支1.胸長(zhǎng)神經(jīng)(C5-C2)前鋸肌[翼狀肩2.胸背神經(jīng)(C-C)背闊肌肌皮神經(jīng)3.腋神經(jīng)(C5-C)4.肌皮神經(jīng)(C5-C7)胸長(zhǎng)神經(jīng)腋神經(jīng)胸背神經(jīng)8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)9脊神經(jīng)上干后束C5的前支C的前支外側(cè)束Cn的前支內(nèi)側(cè)束C的前支T1的前支部腋神經(jīng)肌皮神經(jīng)中干橈神經(jīng)下干胛下神經(jīng)臂內(nèi)側(cè)皮神經(jīng)胸長(zhǎng)神經(jīng)正中神經(jīng)前臂內(nèi)側(cè)皮神經(jīng)尺神經(jīng)8年劇《系統(tǒng)解測(cè)學(xué)》脊神經(jīng)10醫(yī)學(xué)解剖課件脊神經(jīng)11醫(yī)學(xué)解剖課件脊神經(jīng)12醫(yī)學(xué)解剖課件脊神經(jīng)13醫(yī)學(xué)解剖課件脊神經(jīng)14醫(yī)學(xué)解剖課件脊神經(jīng)15醫(yī)學(xué)解剖課件脊神經(jīng)16醫(yī)學(xué)解剖課件脊神經(jīng)17醫(yī)學(xué)解剖課件脊神經(jīng)18醫(yī)學(xué)解剖課件脊神經(jīng)19醫(yī)學(xué)解剖課件脊神經(jīng)20醫(yī)學(xué)解剖課件脊神經(jīng)21醫(yī)學(xué)解剖課件脊神經(jīng)22醫(yī)學(xué)解剖課件脊神經(jīng)23醫(yī)學(xué)解剖課件脊神經(jīng)24醫(yī)學(xué)解剖課件脊神經(jīng)25醫(yī)學(xué)解剖課件脊神經(jīng)26醫(yī)學(xué)解剖課件脊神經(jīng)27醫(yī)學(xué)解剖課件脊神經(jīng)28醫(yī)學(xué)解剖課件脊神經(jīng)29醫(yī)學(xué)解剖課件脊神經(jīng)30醫(yī)學(xué)解剖課件脊神經(jīng)31醫(yī)學(xué)解剖課件脊神經(jīng)32醫(yī)學(xué)解剖課件