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Lungs
Prepared By : Dr. mohaned Abu lehea
• During life, the right and left lungs are soft and
spongy and very elastic.
• In the child, they are pink, but with age, they
become dark and mottled because of the
inhalation of dust particles.
• They are therefore separated from each other
by the heart and great vessels and other
structures in the mediastinum.
• Each lung is covered with visceral pleura, and
suspended free in its own pleural cavity, being
attached to the mediastinum only by its root.
• Each lung has a blunt apex, which projects
upward into the neck for about 1 in.
• A concave base that sits on the diaphragm; a
convex costal surface, which corresponds to
the concave chest wall; and a concave
mediastinal surface, which is molded to the
pericardium and other mediastinal structures.
• At about the middle of this surface is the
hilum, a depression in which the
bronchi, vessels, and nerves that form the root
enter and leave the lung.
• The anterior border is thin and overlaps the
heart.
• The posterior border is thick and lies beside
the vertebral column.
Right Lung
• The right lung is slightly larger than the left
and is divided by the oblique and horizontal
fissures into three lobes: the upper, middle, and
lower lobes.
• The oblique fissure runs from the inferior
border upward and backward across the medial
and costal surfaces until it cuts the posterior
border about 2.5 in below the apex.
• The horizontal fissure runs horizontally across
the costal surface at the level of the fourth
costal cartilage to meet the oblique fissure in
the midaxillary line.
• The middle lobe is thus a small triangular lobe
bounded by the horizontal and oblique
fissures.
Left Lung
• The left lung is divided by a similar oblique
fissure into two lobes: the upper and lower
lobes
• There is no horizontal fissure in the left lung.
Bronchopulmonary Segments
• The bronchopulmonary segments are the
anatomic, functional, and surgical units of the
lungs.
• Each lobar (secondary) bronchus, which passes
to a lobe of the lung, gives off branches called
segmental (tertiary) bronchi.
• Each segmental bronchus passes to a
structurally and functionally independent unit
of a lung lobe called a bronchopulmonary
segment.
• The segmental bronchus is accompanied by a
branch of the pulmonary artery, but the
tributaries of the pulmonary veins.
• Each segment has its own lymphatic vessels
and autonomic nerve supply.
• On entering a bronchopulmonary
segment, each segmental bronchus divides
repeatedly .
• As the bronchi become smaller, the U-shaped
bars of cartilage found in the trachea are
gradually replaced by irregular plates of
cartilage, which become smaller and fewer in
number.
• The smallest bronchi divide and give rise to
bronchioles, which are less than 1 mm in
diameter.
• Bronchioles possess no cartilage in their walls.
• The bronchioles then divide and give rise to
terminal bronchioles , which show delicate
out-pouchings from their walls.
• Gaseous exchange between blood and air takes
place in the walls of these outpouchings, which
explains the name respiratory bronchiole.
• The respiratory bronchioles end by branching
into alveolar ducts, which lead into tubular
passages with numerous thin-walled
outpouchings called alveolar sacs.
• The alveolar sacs consist of several alveoli
opening into a single chamber.
• Each alveolus is surrounded by a rich network
of blood capillaries.
• The root of the lung is formed of structures
that are entering or leaving the lung.
• It is made up of the bronchi, pulmonary artery
and veins, lymph vessels, bronchial
vessels, and nerves.
Blood Supply of the Lungs
• The bronchi and the visceral pleura receive
their blood supply from the bronchial
arteries, which are branches of the descending
aorta.
• The bronchial veins drain into the azygos and
hemiazygos veins.
Nerve Supply of the Lungs
• At the root of each lung is a pulmonary plexus
composed of efferent and afferent autonomic
nerve fibers.
• The plexus is formed from branches of the
sympathetic trunk and receives
parasympathetic fibers from the vagus nerve.
Thanks

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lungs-131018180202-phpapp02.pdf

  • 1. Lungs Prepared By : Dr. mohaned Abu lehea
  • 2. • During life, the right and left lungs are soft and spongy and very elastic. • In the child, they are pink, but with age, they become dark and mottled because of the inhalation of dust particles.
  • 3. • They are therefore separated from each other by the heart and great vessels and other structures in the mediastinum. • Each lung is covered with visceral pleura, and suspended free in its own pleural cavity, being attached to the mediastinum only by its root.
  • 4.
  • 5. • Each lung has a blunt apex, which projects upward into the neck for about 1 in. • A concave base that sits on the diaphragm; a convex costal surface, which corresponds to the concave chest wall; and a concave mediastinal surface, which is molded to the pericardium and other mediastinal structures.
  • 6. • At about the middle of this surface is the hilum, a depression in which the bronchi, vessels, and nerves that form the root enter and leave the lung.
  • 7.
  • 8. • The anterior border is thin and overlaps the heart. • The posterior border is thick and lies beside the vertebral column.
  • 9. Right Lung • The right lung is slightly larger than the left and is divided by the oblique and horizontal fissures into three lobes: the upper, middle, and lower lobes.
  • 10.
  • 11. • The oblique fissure runs from the inferior border upward and backward across the medial and costal surfaces until it cuts the posterior border about 2.5 in below the apex.
  • 12. • The horizontal fissure runs horizontally across the costal surface at the level of the fourth costal cartilage to meet the oblique fissure in the midaxillary line.
  • 13.
  • 14. • The middle lobe is thus a small triangular lobe bounded by the horizontal and oblique fissures.
  • 15. Left Lung • The left lung is divided by a similar oblique fissure into two lobes: the upper and lower lobes • There is no horizontal fissure in the left lung.
  • 16.
  • 17. Bronchopulmonary Segments • The bronchopulmonary segments are the anatomic, functional, and surgical units of the lungs. • Each lobar (secondary) bronchus, which passes to a lobe of the lung, gives off branches called segmental (tertiary) bronchi.
  • 18.
  • 19. • Each segmental bronchus passes to a structurally and functionally independent unit of a lung lobe called a bronchopulmonary segment.
  • 20. • The segmental bronchus is accompanied by a branch of the pulmonary artery, but the tributaries of the pulmonary veins. • Each segment has its own lymphatic vessels and autonomic nerve supply.
  • 21. • On entering a bronchopulmonary segment, each segmental bronchus divides repeatedly . • As the bronchi become smaller, the U-shaped bars of cartilage found in the trachea are gradually replaced by irregular plates of cartilage, which become smaller and fewer in number.
  • 22.
  • 23.
  • 24. • The smallest bronchi divide and give rise to bronchioles, which are less than 1 mm in diameter. • Bronchioles possess no cartilage in their walls.
  • 25. • The bronchioles then divide and give rise to terminal bronchioles , which show delicate out-pouchings from their walls. • Gaseous exchange between blood and air takes place in the walls of these outpouchings, which explains the name respiratory bronchiole.
  • 26. • The respiratory bronchioles end by branching into alveolar ducts, which lead into tubular passages with numerous thin-walled outpouchings called alveolar sacs. • The alveolar sacs consist of several alveoli opening into a single chamber.
  • 27. • Each alveolus is surrounded by a rich network of blood capillaries.
  • 28. • The root of the lung is formed of structures that are entering or leaving the lung. • It is made up of the bronchi, pulmonary artery and veins, lymph vessels, bronchial vessels, and nerves.
  • 29.
  • 30.
  • 31. Blood Supply of the Lungs • The bronchi and the visceral pleura receive their blood supply from the bronchial arteries, which are branches of the descending aorta. • The bronchial veins drain into the azygos and hemiazygos veins.
  • 32. Nerve Supply of the Lungs • At the root of each lung is a pulmonary plexus composed of efferent and afferent autonomic nerve fibers. • The plexus is formed from branches of the sympathetic trunk and receives parasympathetic fibers from the vagus nerve.
  • 33.
  • 34.
  • 35.
  • 36.