邹平县中医院内一科孙瑞鹏I I ,I I I I I I I I I I - I I I I 买房结动脉锥支冠状动脉的解剖，状 冠 右,右室支/后降支、左冠状动脉后间隔士房室八左室后侧支、/砂一前自房支，钝缘支上前间隔支一对角支2,前降支近段3 .前降支中段4 .前降支远段5 .第一对角支6 .第二对角支7 .回旋支近段8 .回旋支远段冠状动脉血管树解剖示意图1.左主干12.圆锥支13 .右冠状动脉近段14 .右冠状动脉中段15 .右冠状动脉远段16 .房室结动脉17 .后降支18 .左心室支19 .右心室支9 .钝缘支20.锐缘支一10 .后降支21.室间隔支11 .窦房结动脉22.左心房支Right Coronary人若蔻Arteries of the Heart冠状动脉解剖tr Diagonal Arteries 对角支Left Coronary Artery 左主干Acute PM arginal Artery 锐绫支 PosteriorDescending Artery ,后降支.zjj Oblique Marginal Artery 安Circtimflex Artery一旗支Left Anterior、Descending Artery前降支从这张图片往后较多图片展示冠状动脉的 整体情况，是大家先有一个整体的概念，然后我们再一点一点地深入解剖各个动脉 及其分支。图片包括线条图、实物图以及 据实物绘制图、造影图等。Coronaiy Arteries and Cardiac VeinsSternocostal Surface9Eiri舂ht* 5gSj nodeL AM.acute marginal artery; AVCx.alricvemicuEgraave branch of circumflex; AVN,atrioventricular node artery; CB,conts branch; 口 diagonal branch of UD; LAC,left atrial circumflex; LAD.left anterior descending; LA。,30c left anterior oblique projection; LAT left lateral projection; LMS.left main stem LV.leftventricular branches; MCk,main circumflex; PD.posterior descending; PLCx.posterolateralcircurnftex branch obtuse marginal; RAT right atrial branch; RAO,30ra right anterior oblique projection; RVr right ventricular branch; 1 st S,first septal perforator; Sfl septai perforating arteries; SN.sms node artery.D上CjKRAOLAOLATFigure 16.32 Right coronary artery.Key A,atrial branch; AM,acute marginal artery; AVCx,atrioventricular groove branch of circumflex; AVN atrioventricular node artery;上腔一熟supefET 镀旧 cava右心耳 nght auricle行社状才Ik 瞰 口愉y artery右稗中女 mi虱e txanch 而 right ariumn的I marginal branch动腺版施支branch 针 1a 市 聃 us赭宅间支antenor in忸Neirtricum 此描图*1右冠状动脉前面观Rg 3-126 AnteriGf aspect of right coronary artery左一之动抹kh corona a侬门 前室一支amerior imervemncw Mmn应支circumflex branch对角支.。法即喻1 branch.右冠怅动林7 right corarar1 arliiiy房室黏支brach of *惟市制厕node图3/21左冠状就脉心房已切除一-Ftg.3-121 Left coronary artery I atria have been resected 左心耳left aurcte旋力circumflex branch对相wdiagonal branch心丸薛脉greai cardiac veinpulmonary aftery左状动左left corona artery动林园镶支branch of arterial conus前室向支anterior imcrrntncuLar branch 、左塞葡支 anterior branch of eh yentncle图3-122左冠状动脉左前外侧面观（一）Fig.3-122 Le1t anterolateral aspect of left coronary artery左优势型双前降支冠脉口位置股动脉穿刺冠脉血流TIMI分级 1级无血流 2级 3级