双侧乳糜池伴双支胸导管一例

我们在解剖一例儿童男尸时,发现该尸体有双侧乳糜池并伴有双支胸导管末端汇合注入左颈静脉角的变异,现报告如下:两侧梭形膨大的乳糜池分别位于脊柱的两侧,平第12胸椎上缘。右侧乳糜池位于右膈脚的后方,直径为0.45cm。它们分别接纳来自     

双胸导管、双乳糜池一例报告

<正> 标本系一男童尸,身长97厘米。左胸导管较粗且长,右胸导管细而稍短,它们分别列于胸主动脉的左侧、右侧。左胸导管似为主管,长180毫米,宽2.5毫米,管的下端作念珠形膨大为左乳糜池。     

右位胸主动脉变异1例

在对1例患者进行胸部CT检查时发现，其主动脉弓转位不全，形成右弓右降主动脉畸形，经检索此类变异极为少见，现报道如下：     

胸导管注入右颈横静脉1例

胸导管注入右颈横静脉１例杜淑华①黎晖②在解剖一具４５岁左右的男性标本时，见其胸导管全长位于右侧，且末端注入右侧颈横静脉。右颈横静脉异常增粗。这种变异罕见，现报道如下：该胸导管由左、右腰干汇合而成，肠干注入左腰干。肠干由肠系膜上动脉根部的肠系膜上淋巴结...     

胸导管注入右静脉角1例

胸导管注入右静脉角１例孙庆荣①周爱成①仲玉权①吴洪海①胸导管注入右静脉角少见，在制作标本过程中，在１例１０岁男童标本上见其胸导管注入静脉部位及其收纳范围异常。现报导如下：本例胸导管长２０ｃｍ，起于第１腰椎前方的乳糜池，接纳左右腰干及肠干，穿膈主动脉裂...     

双上腔静脉伴胸导管变异1例

<正>作者在解剖一老年男性时发现其左、右侧各有一上腔静脉,同时伴胸导管变异,部分内脏转位,现报道如下:1双上腔静脉1.1右上腔静脉右上腔静脉起始、行程及注入部位均正常。左头臂静脉自左胸锁关节的后方,越过主动脉弓分支的前方,在右侧第1胸肋结合处的后方与右头臂静脉汇合,形成右上腔静脉。     

右位乙状结肠伴高位阑尾1例

在尸体解剖中发现右位乙状结肠伴高位阑尾1例，现报道如下： 成年男尸，高175cm左右开腹后见肝、睥、胃、小肠位置形态无异常，横结肠位置基本正常，降结肠在左季肋区的内侧下份起于结肠左侧，继而向右下行至右髂窝小骨盆后上缘，转而向上走行至肠系膜下动脉起始部水平高度，再急转向外下沿盆腔右后壁下行,越过小骨盆后外侧缘，再沿盆壁下行，移行为直肠由于乙状结肠占据着右髂窝，盲肠及阑尾位置上移，居于肝下，左髂寓内仅有小肠向右下斜行的降结肠较异位的乙状结肠明显变细（图1）     

横位乙状结肠伴右位直肠1例

正常乙状结肠起于左髂嵴处的降结肠,沿左髂窝转入盆腔内,至第三骶椎平面续于直肠。直肠继而沿骶、尾骨前面下行,穿过盆膈移行为肛管。本例乙状结肠呈横位,直肠则居盆腔右前侧壁,现报道如下。 1 临床资料 男尸,身高168cm,年龄约60岁,腹部皮肤无疤痕。该例乙状结肠自左髂窝开始,先向上行至左骶髂关节处呈倒“乙”字形急转弯,横行至右骶髂关节处,沿盆右侧壁向前,距右耻骨结节2.8cm处移行为直肠。直肠在一双层腹膜所形成的系膜固定下,于盆右侧壁前份下行至盆膈,移行为肛管。盆部腹膜腔     

右位心伴全内脏反位1例

患者女性,26岁,海南人.因婚前医学检查前来体检.体格检查:身高154 cm、体重55 kg、Bp 110/80mmHg,营养发育、智力正常、自动体位,平素体健,生活工作正常.心脏听诊于常规心脏听诊区不能闻及,改变位置到对侧相应位置听诊可闻及正常心音,心率75次/min,心律齐,心脏各瓣膜未闻及病理性杂音.腹平软,左季肋缘可触及肝脏下缘,右季肋缘未触及脾脏.胸部透视示:右位心.心电图示:右位心.腹部彩超示:肝脏大部分位于腹部左侧,胆囊位于左侧,脾位于右侧,胰头位于左侧,胰尾位于右侧脾门处.诊断为右位心伴全内脏反位.     

乳糜池位置变异1例

乳糜池为胸导管的起始部位,正常情况下位于第11胸椎至第2腰椎之间,由左、右腰干和肠干汇合而成.据统计,乳糜池显示率为71％,均位于腹膜后隙内,长高体型人的乳糜池不明显,经常缺如;低矮体型人的乳糜池位置较低,多见于右膈脚腰部[1],但乳糜池在胸腔内的高位变导尚未见报道.     

A case of retroesophageal right subclavian artery, with special reference to the second intercostal artery, retroesophageal right vertebral artery, and thoracic duct

We report a case of retroesophageal right subclavian artery identified in a 59-year-old Japanese female during routine dissection in Nagasaki University School of Medicine. This kind of variation is relatively rare; however, reports of such cases have accumulated. We paid attention to the intersegmental arteries and above all, the second intercostal artery. On the other hand, there have been reports of a retroesophageal right vertebral artery, although such cases are extremely rare. It is considered that both retroesophageal arteries are formed by similar mechanisms. In other words, the distal part of the right dorsal aorta remained in such cases. However, in the case of a retroesophageal right vertebral artery, there might be the possibility of intercostal arteries developing into the vertebral artery, and we discuss such points here.     

Suppression of experimental allergic encephalomyelitis with thoracic duct lymphocytes

Thoracic duct lymphocytes (TDL) from Lewis rats immunized 9-10 days previously with basic protein in complete Freund's adjuvant (BP-CFA) failed to induce experimental allergic encephalomyelitis (EAE) in syngeneic recipients. This contrasts with the successful transfer of EAE by lymph node cell suspensions from donors immunized 9 days previously with BP-CFA. Only minor EAE was induced passively by TDL from rats immunized 11-12 days before with BP-CFA. TDL collected 9-20 days after BP-CFA immunization, however, were successful in transferring specific suppression of EAE tested by the lack of disease in the recipients immunized actively with BP-CFA 1 week after the TDL transfer. The data indicate that the thoracic duct contains specific suppressor cells shortly before, during and after the development of clinical EAE.     

右淋巴导管注入部位变异1例

笔者在解剖一成年男性尸体时,发现其右淋巴导管注入部位变异,现报道如下:右淋巴导管注入右颈内外静脉角,其末端连有3条较粗的淋巴干,另有1条较细的淋巴管在其内侧靠近注入处,右淋巴导管长7.8mm,外径3.7 mm.另外可见左、右颈外静脉的行程不同,左颈外静脉行于左肩胛舌骨肌下腹的浅面,而右颈外静脉则行于右肩胛舌骨肌下腹的深面(图1).