鎖骨下動脈(subclavian artery)


Ascending aorta(升主動脈)

 Aortic arch(主動脈弓)
  Brachiocephalic trunk(頭臂動脈幹)
  common carotid artery(總頸動脈)
  subclavian artery (鎖骨下動脈)
   Axillary artery(腋動脈)
 Thoracic aorta (胸主動脈)
 abdominal aorta(腹主動脈)
 Common iliac artery(總髂動脈)(包含internal iliac artery(內髂動脈))
  external iliac artery(外髂動脈)
  Femoral artery(股動脈)
 Pulmonary artery(肺動脈)





紅色:左右對稱(特別提及者)
綠色:兩方動脈相互供應
紫色:同向多條吻合
:接續下一血管,但名稱改變
X:此血管名稱為最後命名



B. Left subclavian artery (左鎖骨下動脈)
分支(1)
分支(2)
分支(3)
分支(4)
分支(5)
分支(6)
支配器官
Left subclavian artery (左鎖骨下動脈)
vertebral artery(椎動脈)[1]
指椎動脈全部
deep neck(深頸部)cervical spinal cord(頸部脊髓)spinal cord(脊髓)medulla(延髓)
Subclavian-vertebral   anastomoses(鎖骨下-椎動脈吻合)
Spinal segmental medullary branches(脊髓節延髓支)[2]
Spinal canal(椎管)
Posteriror spinal artery(後脊動脈)[3]
posterior segmental medullary artery(後節髓動脈)[4]
spinal cord(脊髓)後四分之一
Anastomotic loop to anterior spinal artery(到前脊動脈吻合環)
-
Cauda equina artery (馬尾動脈)[5]
??
posterior inferior cerebellar artery(後下小腦動脈)[6]
Cerebellum(小腦)choroid plexus of the fourth ventricle(第四腦室脈絡叢)
Anterior spinal artery(前脊動脈)[7]
Left-right anastomoses(-右吻合)
-
Anteriror segmental medullary artery(前節髓動脈)[8]
Major anteriror segmental medullary artery(主要前節髓動脈)[9]
Anterior portion(前側)spinal cord(脊髓)
Pial plexus(軟膜動脈叢)
Pia mater(軟膜)
Anastomotic loop to posterior spinal artery(到後脊動脈吻合環)
-
Cuada equine artery(馬尾動脈)[10]
??
Left-right anastomoses(-右吻合)
basilar artery(基底動脈)[11]
anterior inferior cerebellar artery(前下小腦動脈)[12]
Cerebellum(小腦)
pontine arteries(數條橋腦動脈)
Pons(橋腦)
Labyrinthine (internal acoustic) artery(迷路(內聽道)動脈)[13]
superior cerebellar artery(上小腦動脈)[14]
Lateral (marginal) branch(外側()
Cerebellum(小腦)
posteromedial central (paramedian) artery(後內側中央(正中旁)動脈)[15]
anterior thalamus(前丘腦)posterior medial part of midbrain(中腦後內側)
Posterior cerebral artery(後大腦動脈)[16]
指後大腦動脈全部
Cerebrum(大腦)occipital lobe(枕葉)
Posterior communicating artery(後交通動脈)=Carotid-vertebral anastomoses(-椎吻合)
-
Posteromedial central (perforating) artery(後內側中央(穿通)動脈=thalamoperforating artery(丘腦穿通動脈)
thalami(丘腦)內側表面、the walls of the third ventricle(第三腦室壁)
Posterior medial choroidal artery(後內側脈絡動脈)[17]
tela chorioidea of the third ventricle (第三腦室)the choroid plexus(脈絡膜脈絡膜叢)
Posterior lateral choroidal artery(後外側脈絡動脈)
cerebral peduncle(大腦腳) fornix(穹窿), thalamus(丘腦)caudate nucleus(尾狀核)
Thalamogeniculate artery(丘腦膝狀體動脈)
??
temporal branch(顳支)
包括右列
Anterior temporal branch(前顳支)
uncus()??the anterior part of the fusiform gyrus(梭狀迴的前部)
Posterior temporal branch(後顳支)
Fusiform gyrus (梭狀迴)inferior temporal gyri(顳下迴)
Dorsal branch to corpus callosum(到胼胝體背側支)
??
Medial occipital artery(內側枕動脈)
X
Parietooccipital branch(頂枕支)[18]
Calcarine branch(禽距支)
Calcarine(禽距溝)Parieto-occipital, (頂枕葉)cuneus(楔葉) precuneus(楔前葉)
X↓
pericardiacophrenic artery(心包膜隔動脈)
diaphragm(橫膈膜)pericardium(心包膜)
anterior intercostal artery(前肋間動脈第1st 6th)[19]
Innermost muscle(最內肋間肌)Internal Intercostals muscle(肋間內肌)External Intercostals muscle(肋間外肌)Pectoralis Major muscle(胸大肌)breast(乳房)[ 3rd , 4th and 5th anterior intercostal artery(前肋間動脈)]
Perforating branch(穿通支)
Pectoralis Major muscle(胸大肌)
medial mammary artery(內側乳房支)
Medial mammayt(內側乳腺)[20]
superior epigastric arteries(上腹壁動脈)[21]
diaphragm(橫膈膜)peripheral poertion(邊緣部)anterior abdominal wall(前腹壁)上部
musculophrenic arteries(肌膈動脈)
X
Abdominal muscle(腹部肌肉)[向下]diaphragm(橫膈膜)[向後]pericardium(心包膜)
anterior intercostal artery(前肋間動脈第7th 11th)[22]
Innermost muscle(最內肋間肌)Internal Intercostals muscle(肋間內肌)External Intercostals muscle(肋間外肌)
Thyrocervical artery(甲狀腺動脈幹)
Suprascapular artery(肩胛上動脈)[23]
棘上支(supraspinous branch)
supraspinatus muscle(棘上肌)
棘下支(infraspinous branch)
Infraspinatus muscle(棘下肌)
transverse cervical artery(橫頸動脈)[24]
X
superficial branch(淺支)
trapezius muscle(斜方肌)sternocleidomastoid muscle(胸鎖乳突肌)
背肩胛動脈(dorsal scapular artery)= descending scapular a
levator scapulae muscle(提肩胛肌)rhomboid major muscle(大菱形肌)rhomboid minor muscle(小菱形肌)supraspinatus muscle(棘上肌)infraspinatus muscle(棘下肌)
Inferior thyroid artery(下甲狀腺動脈)[25]
Thyroid gland(甲狀腺)
Subclavian-vertebral   anastomoses(鎖骨下-椎動脈吻合)
-
costocervical trunk(肋頸動脈幹)[26]
supreme intercostal artery(最高肋間動脈)
-
1st~2nd  posterior intercostal artery(1st~2nd後肋間動脈)[27]
Innermost muscle(最內肋間肌)Internal Intercostals muscle(肋間內肌)External Intercostals muscle(肋間外肌)breast(乳房)[包含2nd, 3rd, 4th posterior intercostal artery(2nd, 3rd, 4th後肋間動脈)]
deep cervical artery(深頸動脈)[28]
X
semispinalis capitis(頭半棘肌) semispinalis cervicis(頸半棘肌)
Subclavian-carotid anastomoses(鎖骨下-頸動脈吻合)[29]
-
Subclavian-vertebral   anastomoses(鎖骨下-椎動脈吻合)[30]
-





[1] 內頸動脈(internalcarotid artery)吻合(??),並通過頸椎C1-C6橫突孔 (transverse foramina)
[2] vertebral artery(椎動脈)分支,經由intervertebral foramen(椎間孔)流入Spinal segmental medullary branches(脊髓節延髓支)
[3] Posteriror spinal artery(後脊動脈)vertebral artery(椎動脈)posterior inferior cerebellar artery(後下小腦動脈)發出,沿脊髓後外側下行,沿途接受後Medullary artery(髓動脈)的補充
[4]vertebral artery(椎動脈)分支,經由intervertebral foramen(椎間孔)流入posterior segmental medullary artery(後節髓動脈),與posterior intercostal artery(後肋間動脈)吻合、下段與lumbar artery(腰動脈)吻合
[5] lateral sacral artery(外側薦動脈)medial sacral artery(內側薦動脈)吻合
[6] 往後走,通過vagus nerve(迷走神經)accessory nerve(副神經)的發出點附近,在cerebellum(小腦)inferior cerebella peduncle(下小腦腳)分成兩支
[7] 從椎動脈分枝後沿前方脊髓分布
[8] posterior intercostal artery吻合、下段與lumbar artery吻合
[9] posterior intercostal artery吻合
[10] lateral sacral arterymedial sacral artery吻合
[11] 由二側vertebral artery(椎動脈)合併而成的不成對的動脈,它在顱內走在pons(橋腦)下面,分為二支posterior cerebral artery(大腦後動脈)
[12] 來自basilar artery(基底動脈)brain stem(腦幹)medulla(延髓)pons(橋腦)之間的交界處。通過cerebellum(小腦)前部
[13] 來自anterior inferior cerebellar artery(前下小腦動脈)basilar artery(基底動脈)有細長的分支。通過Auditory canal(內耳道)伴隨auditory nerve(聽神經),並分佈到inner ear(內耳)
[14] 通過oculomotor nerve(動眼神經)正下方,走在tochlear nerve(滑車神經),之後再往上到上表面的cerebellum(小腦)
[15] 最大的vertebral artery(椎動脈)的分支之一,蜿蜒向後周圍的medulla(延髓)的上部,通過vagus nerve(迷走神經)accessory nerve(副神經)的起源之間
[16] 起源於posterior communicating artery(後交通動脈)basilar artery(基底動脈)的交叉點附近,與middle cerebral artery(中大腦動脈)internal carotid artery(頸內動脈)posterior communicating artery(後交通動脈)互相流通
[17] 沿Corpus callosum(胼胝體)向前
[18]  anterior inferior temporal artery(前顳下動脈)middle inferior temporal artery(中顳下動脈)posterior inferior temporal artery(後顳下動脈)相接
[19] 行走在Innermost muscle(最內肋間肌)Internal Intercostals muscle(肋間內肌)之間;會與相對應之posterior intercostal artery(後肋間動脈)吻合
[20] 1st~4th Perforating branch(穿通支)
[21] Inferior epigastric artery(下腹壁動脈)吻合
[22] 行走在Innermost muscle(最內肋間肌)Internal Intercostals muscle(肋間內肌)之間;會與相對應之posterior intercostal artery(後肋間動脈)吻合
[23] 穿透trapezius muscle(斜方肌)和提供皮膚的肩峰;與thoracoacromial artery(胸肩峰動脈)吻合
[24] 橫向通過trapezius muscle(斜方肌)前緣
[25] Inferior thyroid artery(下甲狀腺動脈)的分支分佈在氣管並和支氣管動脈交會
[26] 從第1和第2肋骨上的頸部(neck)前方以及胸膜(pleura)的後方之間往下走
[27] 會與相對應之anterior intercostal artery(前肋間動脈)吻合;發送一個小的脊髓分支通過相應的椎間孔髓質椎管及管的膜
[28] 大多數情況從costocervical trunk(肋頸動脈幹)分枝,有時從subclavian artery (鎖骨下動脈)獨立分出
[29] subclavian artery (鎖骨下動脈)吻合
[30] vertebral artery(椎動脈)吻合
▼血管(blood vessel) 顯示/隱藏(show/hide)

4 意見:

  1. 肩胛上動脈(suprascapular a.)=transverse scapular a. 支配棘上肌(supraspinatus muscle)
    背肩胛動脈(dorsal scapular a.)=descending scapular a. 支配 闊背肌 提肩胛肌 大小菱形肌 協方肌

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  2. transverse cervical artery(橫頸動脈)=transverse artery of neck =transversa colli artery 支配胸鎖乳突肌 斜方肌

    煩請更正 謝謝``

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