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class="head_box"> <div id="5vajrimf" class="sidebar"> <a href="http://m.1-jiu.com/" class="logo" title="應(yīng)屆畢業(yè)生網(wǎng)" target="_blank"></a> <a href="http://m.1-jiu.com/edu/cpp/" title="臨床執(zhí)業(yè)醫(yī)師" target="_blank" class="lanmu">臨床執(zhí)業(yè)醫(yī)師</a> <code>當(dāng)前位置：</code><a href='http://m.1-jiu.com/' title="應(yīng)屆畢業(yè)生網(wǎng)">應(yīng)屆畢業(yè)生網(wǎng)</a><code>></code><a href='http://m.1-jiu.com/edu/yypx/' title="醫(yī)藥培訓(xùn)">醫(yī)藥培訓(xùn)</a><code>></code><a href='http://m.1-jiu.com/edu/cpp/' title="臨床執(zhí)業(yè)醫(yī)師">臨床執(zhí)業(yè)醫(yī)師</a><code>></code>臨床執(zhí)業(yè)醫(yī)師考點(diǎn)：胸膜頂?shù)奈恢? </div> <div id="5vajrimf" class="search"> </div> <div id="5vajrimf" class="rougao"> <a target="_blank" href="http://m.1-jiu.com/usr/login.html" title="我要投稿">我要投稿</a> <a target="_blank" href="http://m.1-jiu.com/contact.html" class="jianyi" title="投訴建議">投訴建議</a> </div> </div> </div> <div id="5vajrimf" class="main"> <div id="5vajrimf" class="main-left"> <div id="5vajrimf" class="article"> <script type="text/javascript">s("title_top");</script> <h1 class="title">臨床執(zhí)業(yè)醫(yī)師考點(diǎn)：胸膜頂?shù)奈恢?/h1> <div id="5vajrimf" class="info"> <span id="5vajrimf" class="time">時(shí)間：2020-10-17 09:16:14 </span> <span id="5vajrimf" class="sm_after_time"></span> <span id="5vajrimf" class="source"><a target="_blank" href="http://m.1-jiu.com/edu/cpp/" title="臨床執(zhí)業(yè)醫(yī)師">臨床執(zhí)業(yè)醫(yī)師</a></span> <span id="5vajrimf" class="source"><a target="_blank" href="http://m.1-jiu.com/usr/login.html" title="我要投稿">我要投稿</a></span> </div> <script type="text/javascript">s("content_top");</script> <div id="5vajrimf" class="content"> <p>臨床執(zhí)業(yè)醫(yī)師考點(diǎn)：胸膜頂?shù)奈恢?/p> <p> <strong>　　胸膜頂?shù)奈恢茫?/strong></p> <p> 　　胸膜頂是覆蓋肺尖部的壁胸膜，突入頸根部，高出鎖骨內(nèi)側(cè)1/3上緣2～3cm.前、中、后斜角肌覆蓋其前、后及外方。從第7頸椎橫突、第1肋頸和第1胸椎體連至胸膜頂?shù)慕钅しQ為胸膛上膜，起懸吊作用。當(dāng)行肺萎陷手術(shù)時(shí)，須切斷上述筋膜，才能使肺尖塌陷。</p> <p> <strong>　　胸膜頂形態(tài)與周圍常用穴位關(guān)系的臨床解剖研究。</strong></p> <p> 　　采用小號(hào)克氏針標(biāo)定法和層次解剖法，解剖46具正常成人尸體胸部標(biāo)本，觀測(cè)胸膜頂?shù)?形態(tài)及其變異、胸膜頂周圍常用穴位的安全深度及其與胸膜頂形態(tài)的關(guān)系等項(xiàng)目。結(jié)果：在鎖骨上緣觀測(cè)到胸膜頂投影寬度等于鎖骨內(nèi)1/3段者占全部標(biāo)本的32.6%，投影寬度大于鎖骨內(nèi)1/3段者占全部標(biāo)本的59.8%，投影寬度小于鎖骨內(nèi)1/3段且胸膜頂內(nèi)側(cè)界位于胸鎖關(guān)節(jié)內(nèi)側(cè)者占全部標(biāo)本的7.6%;觀察到諸如天突、氣舍、肩井、定喘及大<a target="_blank" title="杼">杼</a>等通常被認(rèn)為與胸膜項(xiàng)似乎無(wú)關(guān)的穴位，按標(biāo)準(zhǔn)的穴位定位和方向行針，超過(guò)一定限度時(shí)即能穿過(guò)胸膜造成破壞。結(jié)論：胸膜頂?shù)奈恢眉捌湫螒B(tài)特點(diǎn)與上部胸膜腔周圍穴位針刺意外的發(fā)生存在解剖學(xué)結(jié)構(gòu)上的聯(lián)系，應(yīng)引起臨床針灸醫(yī)生的警惕和重視。</p> <script>s("content_relate");</script><p>【臨床執(zhí)業(yè)醫(yī)師考點(diǎn)：胸膜頂?shù)奈恢谩肯嚓P(guān)文章：</p><p>1.<a target="_blank" href="http://m.1-jiu.com/edu/cppa/19132.html" title="臨床執(zhí)業(yè)醫(yī)師助理考點(diǎn)：胸膜腔和胸膜腔內(nèi)壓">臨床執(zhí)業(yè)醫(yī)師助理考點(diǎn)：胸膜腔和胸膜腔內(nèi)壓</a></p><p>2.<a target="_blank" href="http://m.1-jiu.com/edu/cppa/429346.html" 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