Tải bản đầy đủ (.pdf) (147 trang)

Ebook Color atlas of the autopsy: Part 2

Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (19.29 MB, 147 trang )

7

Organ and Tissue Removal

,QWKH9LUFKRZDXWRSV\PHWKRGWKHRUJDQVDUHUHPRYHG
RQHDIWHUDQRWKHULQDQRUJDQL]HGDQGORJLFDOIDVKLRQLH
WKH QHFN RUJDQV DUH UHPRYHG DIWHU WKH YLVFHUD WR QHJDWH
WKHDUWLIDFWXDODSSHDUDQFHRIKHPRUUKDJHRIWHQSURGXFHG
E\FRQJHVWLRQ2WKHURUJDQUHPRYDOPHWKRGVLQFOXGHWKH
*RKQ/HWXOOHRUPRGLÀHG5RNLWDQVN\PHWKRGVLQZKLFK
WKH RUJDQV DUH UHPRYHG HQ EORF DOO WRJHWKHU
7KLV W\SH
RI UHPRYDO DOORZV WKH LQWHUQDO YLVFHUD WR EH H[DPLQHG

ZKLOHWKH\DUHVWLOOFRQQHFWHGWRJHWKHU6RPHSDWKRORJLVWV
DOZD\VUHPRYHRUJDQVHQEORF7KHDXWKRUKDVIRXQGWKH
*RKQPHWKRGXVHIXOZKHQH[DPLQLQJLQIDQWVZLWKPXOWL
SOH FDUGLDF DQG RWKHU ELUWK GHIHFWV 7KHUH LV QR ULJKW RU
ZURQJPHWKRGRIGLVVHFWLRQWKHDLPLVVLPSO\WRSHUIRUP
DFRPSOHWHDXWRSV\DQGWRSURYLGHDGHWDLOHGGHVFULSWLRQ
RIWKDWDXWRSV\

99


100

Color Atlas of the Autopsy

HEART EXCISION


FIGURE 7.1 $
² &
+HDUWUHPRYDOFXWWLQJWKHLQIHULRUYHQDFDYD7KHLQIHULRUYHQDFDYDLVFXWDV
DUHWKHSXOPRQDU\YHLQVSXOPRQDU\DUWHULHVDQGDRUWD7KHKHDUWLVKHOGLQWKHOHIWKDQGLQWKHVHÀJXUHV
%ORRGÁRZVIURPWKHFXWYHVVHOVLIWKHEORRGLVQRWFORWWHGGHFRPSRVHGRUPRVWO\DEVHQWIURPWKHERG\
,QFDVHVRIVHYHUHKHPRUUKDJHWKHUHLVDQRWDEOHDEVHQFHRIEORRGDWWKLVPRPHQWRIWKHDXWRSV\


Organ and Tissue Removal

101

FIGURE 7.2 $
&XWWLQJWKHSXOPRQDU\DUWHU\7KHOHIWSXOPRQDU\DUWHU\LVFXWDVLVWKHOHIWSXOPRQDU\YHLQ %
&KHFNLQJ
IRUSXOPRQDU\HPEROXV7KHSXOPRQDU\DUWHU\LVFKHFNHGIRUDFORW WKURPERHPEROXV


FIGURE 7.3 3 X O P R Q D U \
HPEROXV7KHORQJEORRGFORW
GHSLFWHGZDVWDNHQIURPWKH
LQIHULRU YHQD FDYD $ ODUJH
SXOPRQDU\ HPEROXV LV VHHQ
LQ WKH SXOPRQDU\ DUWHU\ DV
ZHOO 7KHVH FORWV HPEROL

FDQPRYHXSIURPWKHORZHU
OHJYHLQVRUOHVVFRPPRQO\
IURPWKHSHOYLVRUXSSHUDUP
YHLQV WR WKH ULJKW KHDUW DQG

WKHQ RXW WR WKH SXOPRQDU\
DUWHULHV,IWKHVHWKURPERHP
EROL DUH ODUJH HQRXJK WKH\
FDQFDXVHLPPHGLDWHFDUGLDF
DUUHVW


102

FIGURE 7.4 $
  %

:HLJKLQJ WKH KHDUW 7KH
KHDUW OLNH DOO RUJDQV LV
ZHLJKHG,QFUHDVHGZHLJKW
RI WKH KHDUW FDQ LQGLFDWH
K\SHUWHQVLYHKHDUWGLVHDVH
RU QXPHURXV RWKHU FRQGL
WLRQVWKDWFDXVHKHDUWIDLO
XUH OLNH FDUGLRP\RSDWK\
7KH KHDUW LV D VSHFLDOL]HG
PXVFOH WKDW LQFUHDVHV LQ
VL]H DQG ZHLJKW DV PRUH
ZRUNLVUHTXLUHGRILW+LJK
EORRG SUHVVXUH FDXVHV WKH
KHDUWWRLQFUHDVHLQZHLJKW
DQG WKLFNQHVV EHFDXVH RI
WKH LQFUHDVHG SUHVVXUH WKH
KHDUW PXVW PDLQWDLQ 7KH
DYHUDJH KHDUW ZHLJKV

DERXW  J LQ D OE
PDQ$K\SHUWHQVLYHKHDUW
PLJKW ZHLJK PRUH WKDQ
J7KLVSDUWLFXODUKHDUW
ZHLJKVDERXWJGXHWR
K\SHUWHQVLYHKHDUWGLVHDVH

Color Atlas of the Autopsy


Organ and Tissue Removal

LUNG EXCISION

FIGURE 7.5 $
² &
([FLVLRQRIWKHOXQJV7KHOXQJVDUHUHPRYHGDWWKHKLOXPRUFHQWHURIDWWDFKPHQW

103


104

Color Atlas of the Autopsy

FIGURE 7.6 $
² &
([DPRIWKHKLOXP$VWKLVULJKWOXQJLVUHPRYHGWKHKLOXPLVTXLFNO\H[DPLQHGIRUWXPRUVRULQIHFWLRQ
7KHOXQJLVZHLJKHG+HDY\OXQJVDUHFRPPRQO\VHHQLQSQHXPRQLDDQGKHDUWIDLOXUH DVVRFLDWHGZLWKSXOPRQDU\HGHPD




Organ and Tissue Removal

105

FIGURE 7.7 %URQFKLDOSQHXPRQLD $
([DPLQDWLRQRIWKLVKLOXPVKRZVSXVLQWKHEURQFKXVEXEEOLQJWKURXJKWKHEURQFKLDO
DUWHU\ %
7KHSXVDQEHVHHQDWWKHWLSRIWKHVFLVVRU7KHSXVLVDVLJQRIEURQFKRSQHXPRQLD

FIGURE 7.8 &KHVWFDYLW\H[DP7KHFKHVWFDYLW\DQGULEVDUHH[DPLQHGIRUWXPRUVULEIUDFWXUHV
DQGFRQWXVLRQVDPRQJRWKHUFRQGLWLRQV7KHGLDSKUDJPLVWKHGRPHVKDSHGVWUXFWXUHLQWKHORZHU
FHQWHURIWKHSLFWXUH


106

Color Atlas of the Autopsy

LIVER EXCISION

FIGURE 7.9 $
 %

×