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1、最新SectionTHENERVOUSPATHWAYS神經(jīng)傳導(dǎo)路-藥學(xué)醫(yī)學(xué)精品資料A.TheSensory(Ascending)Pathways1.Deep&discriminatorysensation?Proprioceptive(deep)sense(本體感覺(jué)):bodyposture,movement,vibrationandpressure.discriminatorysense(精細(xì)觸覺(jué)):size,shape,textureandtwopointdiscrimination.SystematicAnatomy2DeptofAnatomy,M
2、edicalCollege,QingdaoUniversityReceptorsmusclespindlestendonspindlesPacini’scorpuscles(肌梭,腱梭,P小體)IIIMed.Lemniscus(內(nèi)側(cè)丘系)III丘腦皮質(zhì)束(丘腦中央輻射)cerebralcentersCortexofthesup.andmiddlepartsofpostcentralgyrus.Posteriorpartofparacentrallobule(中央后回上中部皮質(zhì),中央旁小葉后部)Spinalnn.(脊N)(薄束T4?,楔束T4?)(內(nèi)側(cè)丘系
3、交叉)?(薄束核,楔束核)?(脊神經(jīng)節(jié))??(丘腦腹后外側(cè)核)?(內(nèi)囊后肢)(內(nèi)弓狀纖維)??1)Consciousproprioceptivesensorypathways(意識(shí)性本體感覺(jué)傳導(dǎo)通路)SystematicAnatomy3DeptofAnatomy,MedicalCollege,QingdaoUniversity1)PathwayofPain&ThermalsensationoftheTrunk&LimbsSystematicAnatomy7DeptofAnatomy,MedicalCollege,QingdaoUniversityRece
4、ptorsfreen.endings(痛)Krause'sendbulbs(冷)Ruffiniendorgans(熱)IIItrigeminallemniscus(三叉丘系)IIIint.cap.內(nèi)囊后肢cerebralcenterscortexoftheinferiorpartofpostcentralgyrus.(中央后回下部皮質(zhì))(三叉神經(jīng)脊束核)?(V神經(jīng)節(jié))??(丘腦腹后內(nèi)側(cè)核)(三叉神經(jīng))(三叉神經(jīng)脊束)丘腦中央輻射(丘腦皮質(zhì)束)?2)Pain&ThermalSensationofHeadandFace(頭面部痛溫覺(jué))SystematicAn
5、atomy8DeptofAnatomy,MedicalCollege,QingdaoUniversity?2)Pain&ThermalSensationofHeadandFace(頭面部痛溫覺(jué))SystematicAnatomy9DeptofAnatomy,MedicalCollege,QingdaoUniversity(損傷部位)感覺(jué)障礙表現(xiàn)PeripheralNS(周圍神經(jīng))SpinalCord(脊髓)Internalcapsule(內(nèi)囊)Centers(中樞)Thalamus(丘腦)(腦干延髓)subcutaneousnerve(皮神經(jīng)):全部感覺(jué)
6、消失,無(wú)汗mixednerve(混合神經(jīng)):全部感覺(jué)消失,支配肌肉軟癱posteriorroot后根):節(jié)段性全部感覺(jué)消失(交叉性痛溫覺(jué)消失:同側(cè)面部,對(duì)側(cè)軀體)(偏身,多伴有自發(fā)性痛疼)(對(duì)側(cè)三偏:硬癱,痛、溫、本體、精細(xì)觸覺(jué)消失,視覺(jué)消失)(對(duì)側(cè)相應(yīng)區(qū)感覺(jué)消失)posteriorhorn(后角):同側(cè)節(jié)段低1-2節(jié)痛溫覺(jué)消失,Ant.commissure(白質(zhì)前連合):對(duì)稱節(jié)段性痛溫覺(jué)消失Tract(傳導(dǎo)束):分離性感覺(jué)消失)SummaryofSensoryDisturbance(感覺(jué)障礙小結(jié))SystematicAnatomy10DeptofAna
7、tomy,MedicalCollege,QingdaoUniversityRECEPTORSfreen.endings(毛囊周圍神經(jīng)末梢tactilecorpuscles(觸覺(jué)小體)IIIIII丘腦中央輻射(丘腦皮質(zhì)束)內(nèi)囊后肢CEREBRALCENTERScortexofthesup.andmiddlepartsofpostcentralgyrus.Posteriorpartofparacentrallobule(中央后回上中部皮質(zhì),中央旁小葉后部)spinalnn.(脊N)(脊髓白質(zhì)前連合)?(脊髓后角固有束核)?(脊神經(jīng)節(jié))??(丘腦腹后外側(cè)核)(
8、脊髓丘系)(脊髓丘腦前束)3)TactilePathwayofTrunkandL