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The thorax

The pleurae

  • Each pleura has two parts
    • Parietal layer - lines thorax wall and diaphragm
    • Visceral layer - covers outer surface of lungs
  • Continuous with each other at root of lung
  • Separated by pleural cavity containing a small amount of pleural fluid
  • Pulmonary ligaments at each lung root allow for movement during respiration
  • Costal pleura is supplied by intercostal nerves
  • Mediastinal pleura is supplied by phrenic nerves
  • Diaphragmatic pleura is supplied by both intercostal and phrenic nerves

The trachea

  • Fibroelastic wall with U-shaped hyaline cartilages
  • Begins below cricoid cartilage at level of C6 vertebra
  • Ends at level of sternal angle at level of T4 vertebra
  • Lies in superior mediastinum

The bronchi

  • Right main bronchus is wider, shorter and more vertical than the left
  • Divides at hilum of right lung into 3 branches
  • Left main bronchus passes in front of the oesophagus
  • Divides at hilum of left lung into 2 branches

The lungs

  • Each lung is conical in shape
  • Covered by visceral pleura
  • Attached to mediastinum by the root
  • Apex extends into the root of the neck
  • Base of the lung overlies the dome of the diaphragm
  • Right lung has 3 lobes - upper, middle and lower
  • Left lung has 2 lobes - upper and lower
  • Lobes of the lung are divided into bronchopulmonary segments
  • Each receives a segmental bronchus, artery and vein
  • Blood supply of the bronchi and their branches are from the bronchial arteries
  • Bronchial arteries are direct branches of the aorta
  • Bronchial veins drain into the azygos and hemiazygos veins
  • Deoxygenated blood enters each lung via the pulmonary artery
  • Oxygenated blood leaves each lung via the pulmonary vein
  • At each lung root is the pulmonary venous plexus
  • Sympathetic efferent fibres produce bronchodilatation
  • Parasympathetic efferent fibres produce bronchoconstriction

Author:  Dr Shakeeb Khan

 

 
 

Last updated: 05 January 2008

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