Page 5 - leilsmy por
P. 5
ﻱﺩﺭﺎﻜﻳﺮﭘ ﺏﺎﺼﻋﺍ ﻭ ﻕﻭﺮﻋ
ﻭ (Internal thoracic artery) ﻲﻠﺧﺍﺩ ﻱﺍ ﻪﻨﻴﺳ ﻱﺎﻫ ﻥﺎﻳﺮﺷ ﻱﺎﻫ ﻪﺧﺎﺷ ، ﻞﻣﺎﺷ ﻱﺯﻭﺮﺳ ﻱﺭﺍﺪﺟ ﻪﻳﻻﻭ ﻲﻔﻴﻟ ﺩﺭﺎﻜﻳﺮﭘ ﺪ ﻩ ﻨﻨﻛ ﻪﻳﺬﻐﺗ ﻱﺎﻬﻧﺎﻳﺮﺷ
ﺱﻮﮕﻳﺯﺁ ﻲﻤﻫ ﻭ ﺱﻮﮕﻳﺯﺁ ﻱﺎﻫﺪﻳﺭﻭ ﺎﻫ ﻪﺑ ﻥﺁ ﻱﺪﻳﺭ ﻭ ﺖﺸ ﮔﺮﺑ ﻭ ﺪﻨﺘﺴﻫ ﻚﻴﺳﺍ ﺭﻮﺗ ﻲﻟﻭﺰﻧ ﺕﺭﻮﺋﺁ ﻭ Pericardiophrenic ,Musculophrenic
. ﺩﺰﻳﺭ ﻲﻣ ﻲﺒﻠﻗ ﻱﺎﻫ ﺪﻳﺭﻭ ﻪﺑ ﻥﺁ ﻱﺪﻳﺭﻭ ﺖﺸﮔﺮﺑ ﻭ ﺩﺮﻴﮔ ﻲﻣ ﻥﻮﺧ ﻱﺮﻧﻭﺮﻛ ﻱﺎﻬﻧﺎﻳﺮﺷ ﺯﺍ ﻲﻳﺎﺸﺣﺍ ﺯﻭﺮﺳ ﺩﺭﺎﻜﻳﺮﭘ ﺩ . ﻮﺷ ﻲﻣ ﻲﻬﺘﻨﻣ
. ﺪﺷﺎﺑ ﻲﻣ ﺱﺎﺴﺣ ﻱﺮﻜﻴﭘ ﺎﻳ ﻲﻜﻴ ﺗﺎﻣﻮﺳ ﻱﺎﻫ ﺩﺭﺩ ﻪﺑ ﺖﺒﺴﻧ ﻭ ﺖﺳﺍ ﻩﺪﺷ ﺐﻌﺸﻨﻣ ﻚﻴﻧﺮﻓ ﺐﺼﻋ ﺯﺍ ﻱﺯﻭﺮﺳ ﻱﺭﺍﺪ ﺟ ﻪﻳﻻ ﻭ ﻲﻔﻴﻟ ﺩﺭﺎﻜﻳﺮﭘ ﺐﺼﻋ
ﺱﺎﺴﺣ ﻚﻴﺗﺎﻣﻮﺳ ﺩﺭﺩ ﻪﺑ ﺖﺒﺴﻧ ﻭ ﺩﺮﻴﮔ ﻲﻣ ﺐﺼﻋ ( ﻚﻴﺗﺎﭙﻤﺳ ﻪﻨﺗ ﻭ گﺍﻭ ) ﺐﻠ ( ﻗ ﺭﺎﻛﺩﻮﺧ ) ﻡﻮﻧﻮﺗﺍ ﺏﺎﺼﻋﺍ ﺯﺍ ﺩﺭﺎﻜﻴﭘﺍ ﺎﻳ ﻲﻳﺎﺸﺣﺍ ﻱ ﺯﻭﺮﺳ ﺩﺭﺎﻜﻳﺮﭘ
ﻲﻤﻧ ﺱﺎﺴﺣ ﻲﻜﻴﺗﺎﻣ ﻮﺳ ﻱﺎﻫ ﺩﺭﺩ ﻉﻮﻧ ﻪﺑ ﻭ ﺪﺷﺎﺑ ﻲﻤﻧ ﺍﺭﺍﺩ ﺍﺭ ،ﺖﺳﺍ ﻲﻧﺪﺑ ﺭﺍﺪﺟ ﺭﺩ ﻪﻛ ﻮﻴﺘﭙﺳﻭﺮﺘﺴﻛﺍ ﺩﺭﺩ ﻪﺑ ﺱﺎﺴﺣ ﻱﺎﻫ ﻩﺪﻧﺮﻴﮔ ﻲﺗﺭﺎﺒﻋ ﻪﺑ ؛ﺖﺴﻴﻧ
. ﺪﺷﺎﺑ
ﺩﺭﺎﻜﻳﺮﭘ ﻲﻨﻴﻟﺎﺑ ﺕﺎﻜﻧ
( Pericarditis ) ﺖﻳﺩﺭﺎﻜﻳﺮ ﭘ
ﺎﻳ ﻭ ﻱﺮﺘ ﻛﺎﺑ ﺖﺳﺍ ﻦﻜﻤﻣ ﻥﺁ ﺖﻠﻋ . ﺪﻨﻛ ﺖﻳﺍﺮﺳ ﻢﻫ ﺩﺭﺎﻛﻮﻴﻣ ﻪﺑ ﻲﻫﺎﮔ ﺖﺳﺍ ﻦﻜﻤﻣ ﻭ ﺪﻳﺎﻤﻧ ﻲﻣ ﺮﻴﮔ ﺭﺩ ﺍﺭ ﺯﻭﺮﺳ ﻪﻳﻻ ﻪﻛ ﺖﺳﺍ ﻲﺑﺎﻬﺘﻟﺍ ﻱﺪﻨﻳﺁﺮﻓ
ﺐﻠﻗ ﻑﺍﺮﻃﺍ ﺭﺩ ﻱﺩﺭﺎﻜﻳﺮﭘ ﻊﻳﺎﻣ ﺩﺎﻳﺩﺯﺍ ﺚﻋﺎﺑ ﺖ ﺳﺍ ﻦﻜﻤﻣ ﺏﺎﻬﺘﻟ ﺍ ﻪﻣﺍﺩﺍ . ﺩﻮﻤﻧ ﻩﺭﺎﺷﺍ ﻲﻤﺴﻴﺗﺎﻣﺭ ﺐﺗ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﻪ ﻧﻮﻤﻧ ﻱﺍﺮﺑ ﻭ ﻩﺩﻮﺑ ﻲﺳﻭﺮﻳﻭ
. ﺩﺩﺮﮔ ﻥﺁ ﻲﺒﻧﺎﺟ ﺽﺭﺍﻮﻋ ﻭ ﺐﻠﻗ ﻪﺑ ﺭﺎﺸﻓ ﺶﻳﺍﺰﻓ ﺍ ﻪﺑ ﺮﺠﻨﻣ ﻥﺎﻣﺭﺩ ﻡﺪﻋ ﺕﺭﻮﺻ ﺭﺩ ﻭ ﻩﺪﺷ
( Pericardial friction rub ) ﻱﺩﺭﺎﻜﻳﺮﭘ ﺶﻟﺎﻣ ﻱﺍﺪﺻ ﻭ ﻲﺑﺎﻬﺘﻟﺍ ﺵﻭﺍﺮﺗ ﺖﻠﻋ ﻪ ﺑ ﻱﺯﻭﺮﺳ ﺩﺭﺎﻜﻳﺮﭘ ﻱﺭﺍﺪﺟ ﻭ ﻲﻳﺎﺸﺣﺍ ﻱﺎﻫ ﻪﻳﻻ ﻥﺪﺷ ﺮﺑﺯ
. ﺪﺷﺎﺑ ﻲﻣ ﺽﺭﺍﻮﻋ ﻦﻳﺍ ﻪﻠﻤﺟ ﺯﺍ ، ﺪﺷﺎﺑ ﻱ ﻢ ﻤﻫ ﻱﻭﺭ ﺮﺑ ﻡﺮﭼ ﻪﻜﻴﺗ ﻭﺩ ﺶﻟﺎﻣ ﻪﻴﺒﺷ ﻪﻛ
( Cardiac tamponade ) ﻲﺒﻠﻗ ﺩﺎﻧﻮﭙﻣﺎ ﺗ
ﺭﺩ . ﺩﻮﺷ ﻲﻣ ﻪﺘﻓﺮﮔ ﺭﺎﻛ ﻪ ﺑ ،ﺪﺷﺎﺑ ( Pericardial effusion ) ﻱﺩﺭﺎﻜﻳﺮﭘ ﻩ ﺮﻔﺣ ﺭﺩ ﻊﻳﺎﻣ ﻊﻤﺠﺗ ﺎﺑ ﻩﺍﺮﻤﻫ ﺖﻳﺩﺭﺎﻜﻳﺮﭘ ﻪﻛ ﻲﻣﺎﮕﻨﻫ ﺡﻼﻄﺻﺍ ﻦﻳﺍ
،ﺎﻫ گﺭ ﻞﺧﺍﺩ ﻪﺑ ﻥﻮﺧ ﺖﺸﮔﺮﺑ ﻭ ﺐﻠﻗ ﺖﻴﻓﺮﻇ ﺶﻫﺎﻛ . ﺩﻮﺷ ﻲﻣ ﻞﻜﺸﻣ ﺭﺎﭼﺩ ﻥﺁ ﺯﺍ ﻥﻮ ﺧ ﺭﻮﺒﻋ ﻭ ﺩﻮﺷ ﻲﻤﻧ ﺯﺎﺑ ﻲﺘﺣﺍﺭ ﻪﺑ ﺐﻠﻗ ﺖﻟﺎﺣ ﻦﻳﺍ
. ﺩﺩﺮﮔ ﻲﻣ ﺪﺒﻛ ﻭ ﻥﺪﺑ ﻡﺭﻭ ﻭ ﺎﻬﻧﺁ ﻥﺪﺷ ﺮﺗ ﻪﺘﺴﺟﺮﺑ ﺚﻋﺎﺑ
ﻱﺩﺭﺎﻜﻳﺮﭘ ﺓﺮﻔﺣ ﺯﺍ ﻊﻳﺎﻣ ﻥﺪﻴﺸﻛ
4 - 2 ( : ﻞﻜﺷ ) ﺪﻨﻨﻛ ﻲﻣ ﻞﻤﻋ ﺵﻭﺭ ﻭﺩ ﻪﺑ ﺵﻭﺭ ﻦﻳﺍ ﺭﺩ ؛ ﺩﻮﺷ ﻲﻣ ﻪﺘﻔﮔ Pericardiocentesis ﺍ ﺭ ﻱﺩﺭﺎﻜﻳﺮﭘ ﻩ ﺮﻔﺣ ﺯﺍ ﻊﻳﺎﻣ ﻥﺪﻴﺸﻛ
. ﺪﻧﻮﺷ ﻲﻣ ﺩﺭﺍﻭ ﻡﻮﻧﺮﺘﺳﺍ ﺭﺎﻨﻛ ﺭﺩ ﭗ ﭼ ﺖﻤﺳ ﻢﺸﺷ ﺎﻳ ﻭ ﻢﺠﻨﭘ ﻱﺍ ﻩﺪﻧﺩ ﻦﻴﺑ ﻱﺎﻀﻓ ﺯ 1 . ﺍ
ﺩﺭﺍﻭ ﻱﺮﺘﻤﻛ ﺐﻴﺳﺁ ﺍﺭﻮﻠﭘ ﻪﺑ ﺖﻟﺎﺣ ﻦﻳﺍ ﺭﺩ . ﺪﻨﻨﻛ ﻲﻣ ﺩﺭﺍﻭ ﻪﺟﺭﺩ 45 ﻪﻳﻭﺍﺯ ﺎﺑ ﺖﺸﭘ ﻭ ﻻﺎﺑ ﻑﺮﻃ ﻪ ﺑ ﺍﺭ ﻥﺯﻮﺳ ﻝﺎﻧﺮﺘﺳﺍ ﺍﺮﻔﻨﻳﺍ ﭗﭼ ﻪ ﺣﺎﻧ ﺯﺍ 2 .
. ﺖﺳﺍ ﻩﺪﺷ ﻊﻗﺍﻭ ﻪﻴﺣﺎﻧ ﻦﻳﺍ ﺭﺩ (Cardiac notch) ﭗﭼ ﻪﻳﺭ ﻲﺒﻠﻗ ﻲﮔﺪﻳﺮﺑ ﺍﺮﻳﺯ ؛ ﺩﻮﺷ ﻲﻣ
(Paracentesis of pericardium) ﻡﻭﺩ ﺵﻭﺭ ﻪﺑ ﻱﺩﺭﺎﻜﻳﺮﭘ ﻊﻳﺎﻣ ﻥﺪﻴﺸﻛ - 2 : ﻞ 4 ﻜﺷ
( Heart ) ﺐﻠﻗ
ﺮﻈﻧ ﺯﺍ ﺶﺨﺑ ﻭﺩ ﻦﻳﺍ . ﺪﻨﻫﺩ ﻲﻣ ﻞﻴﻜﺸﺗ ﺍﺭ ﻱﺍ ﻩﺮﻔﺣ ﺭﺎﻬﭼ ﻥﺎﻤﺘﺧﺎﺳ ﻚﻳ ﻢﻫ ﺭﺎﻨﻛ ﺭﺩ ﻪﻛ ﺖﺳﺍ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﺖﺳﺍﺭ ﻭ ﭗﭼ ﺶ ﺨﺑ ﻭﺩ ﺯﺍ ﺐﻠﻗ
گﺭﺰﺑ ﺯﺍ ﺍﺭ ﻥﻮﺧ ﻪﻛ ﻩﺩﻮﺑ ﺖﺳﺍﺭ ﺰﻴﻠﻫﺩ ﺯﺍ ﻞﻜﺸﺘﻣ ﺖﺳﺍﺭ ﺐﻠﻗ . ﺪﻨﻫﺩ ﻲﻣ ﻞﻴﻜﺸﺗ ﺍﺭ ﻪﻧﺎﮔﺍﺪﺟ ﻥﻮﺧ ﺵﺩﺮﮔ ﻭ ﻭﺩ ﻩﺪﺷ ﻚﻴﻜﻔﺗ ﻢﻫ ﺯﺍ ﻱژﻮﻟﻮﻳﺰﻴﻓ
5
