Volume 1
Én︠t︡sikloped̄i︠︡ia prakticheskoĭ medi︠t︡siny / M.T. Schnirer i N. Vierordt ; podʺ redak︠t︡sīeĭ V.V. Podvyso︠t︡skiĭ i L. I︠A︡. I︠A︡kobzona.
- Schnirer, Moritz Tobias, 1861-
- Date:
- 1908
Licence: In copyright
Credit: Én︠t︡sikloped̄i︠︡ia prakticheskoĭ medi︠t︡siny / M.T. Schnirer i N. Vierordt ; podʺ redak︠t︡sīeĭ V.V. Podvyso︠t︡skiĭ i L. I︠A︡. I︠A︡kobzona. Source: Wellcome Collection.
72/818 page 64
![128 nsBOJiLHHfl. SflicB cji^AyeTB em;e ynoMflnyTL 0 nyjiLcnpy lomeM'L iiyuerjiasin. Miioro- MDCJieHHHMu n3caiaoBaHiflMii, noBii^^HMOMy, yc'ra- iiOB.ieHO, axo oiio oöycaOBajiBaexca uoBpemae- nifliiii BByxpeHHOH coHuofl apxepin Ha ea nyxii aepesB sinus cavernosus. Mbi aioaceMB roBopnxB saicB, cxaao-ÖBiTB, o6x> apTepiaaBiio-BeHosHon A-'Jfe COHHOH apxepin bb sinus cavernosus. Ilpnuiinoio cayamxB iiepeaoMB ocHOBania uepena naii jKe xpaBMa, ,xtHcxByioiii;aa co cxoponu neaiocxii. aiiöo i'.xa3HiiL,H. Ocoöeuiio nsBicxenx. iiepBLift coo6ui,en- HBin N e 1 a 10 ii’oji'B caynaii, rai koiiuiikb soaxiiKa iiponiiKB BB raa3Hni],y. — AneBpiiaMBi lueii. 3aicB MBI iipeiKae Bcero aoajKHBi 3aHaxi>ca cocy- ancxuMii oiiyxoaaMn carolis externae, internae ii communis, saxiMB arteriae subclaviae, anonymae u vertebralis. A-bi rpyanon aopxBi paacMaxpn- Baioxca BB apyroMB Mbcxb. A bi men ooaaa- reaBuo noapasabaaioxca na xpaBMaxHuecida, nan aoaiHBia, ii caMonponsBoaBHBia, iiaii ncxiiHHBia A-u. OxHOciixeaBHO cnocoßoBB iipoHcxoacaoHia oCoiixx, poaoBB MBI yace roBopnaii noapoßuo bb o6m,ei1 nacxii. 3a'J^CB BcxaBiiMB .aiiiuB aaMbnaiiie, uxo xonnoe KaimnnecKoe paarpauiinenie oöbnxB (jiopMB HC Bceiaa BBiiioauiiMO, xaKB KaKB cymecxnyioxB iiecoMirbHHO nepexoauBia (JiopMBi, ii BOBMoacno öano- BpeMennoe pasBiixie oöbiixB (JiopMB.—A. carotis externae Bcxpiaaexca bccbmu pbano ii iipo- HCXoanxB, BbpoaxHo, Bceraa xpaBMaxnuecKiiMB iiy- xeMB. Onyxo.XB oöuKHOBeHHO aeacnxB iioab ue- arocxHBiMB yraoMB n, yBeanniiBaacB bb pa3Mbpb, nuxiciiaexB cociaHie opraHBi. HepiaKO A. iipniKH- MaexB cocbanie uepBBi, ocobeniio iiervus Ijypoglos- sus, glossopharyng-eus n accessorius. Ho bobmohc- uocxH naKaaaBiBaioxB anraxypy neaxpaaBiio h iiepii(|)epiiaecKii oxb aHeBpnaMaxnnecKaro Mbrnaa. Bb ocoßeHHOcxH Bamno, uxoöbi aeaxpaaBnaa anra- xypa HaxoanJiacB eiu;e bb oßaacxn carotis exter- nae, xaKB KaKB nepeBH3Ka carotis communis npea- cxaBaaexB necpaBneHHO ööaBuiia xpyaiiocxn. Eine p'bace ÖBiBaioxB A-bi carotis internae bb ca bhIj- nepeiiHOMB oxa'fe-fi'b» Hhoä pa3B 9xii A-bi ÖBiaii CMtiuDBaeMBi CB aßcgeccaMH MiiuaaaeBnaHBixB ;Keae3B. Jlyumiö cnocoÖB ii aa^cB saKaiouaexca BB aeHxpaaBHofi nepeBasKb iiopaacemiaro cocyaa.— A-bi carotis communis cnaaxB ßöaBiueio nacxBK» na Mbcxb a^Jisnia, Koxopoe yjKe npii (JjHsioaorHuecKiixB ycaoßiaxB öBinaexB nicKoaBKO pacmnpeno. A-bi Bcxpinaioxca xaK'/Ke n bb nnjKe- .icatani,nxx. MicxaxB n bojidbii ea iianaaa. 3a6o- alißaiiie name naöaioaaexca y MyaccKoro iioaa n BB loiioniecKOMB Bospacx'fe. OnyxoaB mojkcxb ao- cxHraxB necBMa snannxeaBHBixB paBMbpoBB n BauuMaxB u;'bayio noaoBiiuy meir. Oiepxauia ea üoaBiiieio nacxBio npoaoaBiio-OBaaBHBia nan Bepe- xeiiooGpasiiBia, cooxBircxBeiino naripaBaeniio Goan- muxB nieiiiiBixB cocyaoBB. OGBiKuoBenno mbt Bcxpb- <iaeM7> 3a'bcB BC'fe xiiiiH'iecKic cnMnxoMBi caMonpo- n3BoaBiioi1 A-bi. IlyaBCB na a. temporalis oGbikho- Beiino caaGbe, neacean na saopoBoö cxopoiii. Bb GoaBiiiiixB A-axB neptaKO saM'bnaioxca aBaenia npnacaxia co cxoponni ropxann, xpaxen ii nnine- BOaa, a xaiciKe meiioBixB iicpbobb, b'b ocoGeiinocxii Gay;Kaaioin,aro, cb aBaeiiiaMH pasapaacenia ii napa- anna bb oG.xacxn ropxann. Hepbann xaKjKC paa- cxpoficxBa cnMiiaxnaecKaro nepBa, oGycaoBaciiiiBia npniKaxicMB. HeBpaarnnecKia Coan, loaoBOKpyace- nie, roaoBiiBia Goan, oGMoponiiBie iipncxynBi, öes- coHiiiiij,a cyxB o6ni,ie npnsnaKn iiiefiiiBixB A-b. OxaininxeaBHoe pacnoanaBanie BcxpbnaexB nnofi pa.SB GoaBiiiia saxpyaneiiia. OcoGenno xpyano 6bi- BaexB pacnoanaxB KpoBanua khctbi, KOxopBia co- oGmaioxca cb ooaBiunMn BenaMii. II, aböcxBnxeaBno, A-bi coHiiofi apxepin GniaH CMbiiiiiBaeMBi co Bce- B03M0JKHLiMn oiiyxoaaMH, KoxopBia Bcxpbnaioxca na Hieb. llacabaoBauie aoaaciio iiponsßoanxLca ocxopoiKHO, xaKB KKKB crycxKif, cymecxnyiomie na Biiyxpeiiiieß cxbnKb cocyaa, MoryxB oxopsaxBca npii oiuyiiBißaniu n Glixb sanecenu hoxokomb Kpoßii BB apxepiaaBHBie cocyani roaoßnoro Moara. Ilpii abnenin nyaciio nciipoGoBaxB naaBu,eBoe npumaxie. IlBBbcxiiij aaJKC caynaii, rab Gniao aocxnrnyxo ncivbaenie npii iiomoumi iipoaoaacHTeaBuaro npii- acaxia.^ Bo bcbkomb caynab, 8xoxb ciiocoGb ne- B'bpHBiH H Go.xbaiieHiibiH, II ii09X0My nacxo npn- xoanxca Gucxpo iiepexoanxB kb onepaxunnoMy mc- xoay. Bo MuornxB cayiaaxB n.aabneiiie iioayna- aocB npii noMom,n nepeßa3KH carotis iio II u n- ter’y, a npn rayGate aeHcaipnxB A-axB iio Bras- il 0 r’y. CiiocoGbi A n t y 11 u s’a h P h i 1 a g r i u s’a, T.-e. iiepcBflSKa BBime n nnace Mbniica cb paapb- 30MB naii BBiaymenieMB ero, iipeacxananioxB, npanaa, caMue BbpiiBie, no, BMbcxb cb xbMB, ca- MBie xpyanBie Mexoani abnenin, xaKB KaKB nacxo MHoroniicaennBin cpaiaeuin Mbrniia cb oKpyaiaio- iuhmh nacxHMn cnaBHo aaxpyanaioxB BBiaymeiiie.— A H e B p H 3 M LI na t r u n c u s a n o n y m u s nonxii BCeraa npnnaaaejKaxB kb caMonponsBoaBiiBiMB, xaKB KaKB noBpejKaeiiie axoro cocyaa oGbikho- Benno conpoBoataaexcn CMepxeaBHHMB Kponoxene- nieMB. Onyxoai., Koxopan nnanaab noMbiu,aexca Biiyxpn rpyanoH KabxKn, npn a^aBiibömeMB pocxb A-li noHBanexcn cnepean na meb n iipeacxaßanexB Bcb iipnanaKH nyaBcnpyioin;eß cocyancxoü oiiyxoaii. ^an pacno3HaBaiiia ocoGeiino BaacHH aBaenia npii- iKaxia co cxopoaLi OKpyacaiomnxB nacxefi: neßpa.x- riii n napaannn bb oGaacxu naeneßoro cnaexe- nia, pascxpoftcxBa raoxania, npnacaxie auxaxeaB- naro ropaa, oxpnnaocxB oxb napeaa n. recurrens. üpeacKaßanie Goabann necBMa cepneaiio, xukb KaKB paapBiBB MbmKa iian aBßaenie na cocba- nie opraHH iionxn Bceraa BeayxB kb cMepxii. Bb aiariiocTnnecKOMBOxnomeiiiii cabayexB ynoManyxL, nxo oaBOßpeMennoe cyin,ecxßo- Bauie paacxpoöcxBB KpoBooGpainenia BB oanoM iioaoBHHb loaoBLi H BB oanoil Bepxneii KoneniiocxH Bceraa aacaynciiBaexB BiiiiMania. Ila- abneiiia yaaßaaocB aocxnniyxL KaKB npii iioMoni,u 8aeKxpoaii3a, xaitB ii oaeKxporiynKxypbi no Mac E w e n’y. Msb KpoßanbixB oiiepaniii moikcxb Glixb pbuL aniiib 0 iiepni{)epiniecKoö: aiiraxypb apxe- piö, Bbixoaani,nxB ii3b MbiiiKa.—Popaaao najKHbe BB iipairrnnecKOMB oxiiomenin aneBpnaMbi arteriae subclaviae. TpaBMaxiinccKia A-li cpaBHirreabiio pbanii Bcabacxßie aamiimeiinaro noaoiKeiiia cocyaa. 4an;e naGaioaaaacb caMO- npoii3ßoaLHan A. Bcabacxßie aaGoabnania cocy- ancxoß cxbnKH nan Gc3b xaKOBoro. CpaßnnxeaLiia nacxo yKasLißaioxB na iiOBpeiKaesie Kaionnmion oGaacxn xyiibiMii iiaciiaiaMn (xoaneKB, yaapB’. Boabmeio nacxr.io caMonponBBoabuaa A. iipiinaa- aeauixb kb MbiiiexnaxbiMB. CymecxBOßanie nieö- naro peGpa Moacexx., iiyxeMB onenB Meaaeniiaro Bpeanaro abi'icxBia na cocyancxyio xpyGicy, ciiO' coGcxBOßaxL pasBiixiio A-li na uoaKaionnnnon apxepin. TonorpaiJinnecKii pasaiinaioxB A-u, pac- iioaoMcennLia Knyxpn oxb abcxunnnuxB Mumi;B (m. m. scaleni) n KHapyacn oxb iuixb. A. ao iipoxojKaenia nepe3B abcxunnnbia Muiiiabi na iipanoft cxopoub nonxn xoacaecxBenna cb A-oü GeBbiMennoö apxepin. A-u icnapyiKii oxb abcx- minnuxB Muiimb paaßiiBaioxca oGuKiioBenno bt, uaiipaBaeiiin iiaaKaionnnnoil amkh n BuciynaioxB 3abcB BB (j)opMb onyxoaefi cx. paBiioMbpnofi no-](https://iiif.wellcomecollection.org/image/b28128412_0001_0072.jp2/full/800%2C/0/default.jpg)


