壁側胸膜
WordNet
- of or relating to or associated with the parietal bones in the cranium; "parietal lobe"
- the thin serous membrane around the lungs and inner walls of the chest
PrepTutorEJDIC
- 頭頂[骨]の / 大学構内居住に関する
- ろく膜,胸膜
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/01/10 17:02:05」(JST)
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"Pleura" redirects here. For other uses, see Pleuron (disambiguation).
| Pulmonary pleurae |
|
A transverse section of the thorax, showing the contents of the middle and the posterior mediastinum. The pleural and pericardial cavities are exaggerated since normally there is no space between the pulmonary pleurae and between the pericardium and heart.
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| Details |
| Latin |
pleurae pulmonarius |
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Nerve
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intercostal nerves, phrenic nerves |
| Identifiers |
| Code |
TH H3.05.03.0.00006 |
Dorlands
/Elsevier |
p_24/12646791 |
| Anatomical terminology |
The pulmonary pleurae are the two pleurae of the invaginated sac surrounding each lung and attaching to the thoracic cavity. The visceral pleura is the delicate serous membrane that covers the surface of each lung and dips into the fissures between the lobes. The parietal pleura is the outer membrane which is attached to the inner surface of the thoracic cavity. It also separates the pleural cavity from the mediastinum. The parietal pleura is innervated by the intercostal nerves and the phrenic nerve.
Between the membranes is a fluid filled space called the pleural cavity.
Contents
- 1 Structure
- 2 Function
- 3 Innervation
- 4 Development
- 5 Clinical significance
- 6 References
- 7 External links
Structure
Detail of lung showing the pleurae
The visceral pleura is a delicate serous membrane that closely covers the surfaces of the lungs and dips into the fissures that separate the lobes.
The parietal pleura is the outer membrane that attaches to and lines the inner surface of the thoracic cavity, covers the upper surface of the diaphragm and is reflected over structures within the middle of the thorax. It separates the pleural cavity from the mediastinum.
The parietal pleura is differentiated into regions in line with the location in the thorax. The ‘’cervical pleura’’ (or ‘’cupula of pleura’’) is in the region of the cervical vertebrae extending beyond the apex of the lung and into the neck. The ‘’costal pleura’’ lines the inner surfaces of the ribs and the intercostal muscles and are separated from them by endothoracic fascia. An extension of the endothoracic fascia known as the suprapleural membrane covers the apex of each lung in a thickened layer of connective tissue. The ‘’diaphragmatic pleura’’ lines the convex surface of the diaphragm. The ‘’mediastinal pleura’’ attaches to the other organs in the mediastinum and forms the separating lateral wall.
Between the two membranes is a space called the pleural cavity or interpleural space which contains a lubricating fluid.
Function
The contraction of the diaphragm creates a negative pressure within the pleural cavity which forces the lungs to expand resulting in passive exhalation and active inhalation. This breathing process can be made forceful through the contraction of the external intercostal muscles which forces the rib cage to expand and add to the negative pressure in the pleural cavity causing the lungs to fill with air. The fluid in the cavity provides lubrication and cushioning.
Innervation
The parietal pleura is innervated by the intercostal nerves and the phrenic nerve. The costal pleura is innervated by the intercostal nerves. The diaphragmatic portion of the parietal pleura overlies the diaphragm and is innervated by the phrenic nerve in its central portion and by the intercostal nerves in its peripheral portion. The mediastinal portion of the parietal pleura forms the lateral wall of the mediastinum and is innervated by the phrenic nerve.
Development
The visceral and parietal pleurae both derive from the lateral plate mesoderm which splits into two layers the somatopleuric mesoderm forming the parietal membrane and the splanchnopleuric mesoderm of the visceral membrane.[1]
Clinical significance
Pleurisy is a condition of inflamed pleurae.
Pleurisy can lead to a build-up of fluid known as pleural effusion in the pleural cavity. Pleural effusion can also occur from other causes.
References
- ^ Larsen, William J. (2001). Human embryology (3. ed.). Philadelphia, Pa.: Churchill Livingstone. p. 138. ISBN 0-443-06583-7.
External links
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Wikimedia Commons has media related to Pulmonary pleurae. |
- -1288372165 at GPnotebook
- thoraxlesson2 at The Anatomy Lesson by Wesley Norman (Georgetown University)
- Atlas image: lung_pleura at the University of Michigan Health System - "X-ray, chest, posteroanterior view"
- Atlas image: lung_lymph at the University of Michigan Health System - "Transverse section through lung"
- MedEd at Loyola Grossanatomy/thorax0/thor_lec/thor6.html
- Diagram at kent.edu
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Anatomy of the thorax
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| General |
- Mediastinum
- Thoracic wall
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| Pleural cavity |
- Parietal pleura
- Visceral pleura
- Pulmonary ligament
- Recesses
- Costomediastinal
- Costodiaphragmatic
- Endothoracic fascia
- Suprapleural membrane
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Index of the respiratory system
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| Description |
- Anatomy
- Physiology
- Development
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| Disease |
- Congenital
- Neoplasms and cancer
- Chest trauma
- Infection
- common cold
- pneumonia
- tuberculosis
- Other
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- nasal
- throat
- obstructive airway diseases
- cough and cold
- histaminergics
- pulmonary arterial hypertension
- other
- Surgery
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UpToDate Contents
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English Journal
- No association between simian virus 40 and diffuse malignant mesothelioma of the pleura in Iranian patients: A molecular and epidemiologic case-control study of 60 patients.
- Mohammad-Taheri Z, Nadji SA, Raisi F, Mohammadi F, Bahadori M, Mark EJ.SourceVirology Research Center, National Research Institute of Tuberculosis and Lung Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
- American journal of industrial medicine.Am J Ind Med.2013 Oct;56(10):1221-5. doi: 10.1002/ajim.22160. Epub 2013 Jul 5.
- BACKGROUND: Diffuse malignant mesothelioma (DMM) is increasing in incidence on a worldwide basis and is linked to exposure to asbestos. Simian virus 40 (SV40), a DNA virus, was introduced inadvertently to human populations through contaminated polio vaccine during the years 1956-1963. It has been as
- PMID 23828611
- Malignant mesothelioma: new insights into a rare disease.
- Remon J, Lianes P, Martínez S, Velasco M, Querol R, Zanui M.SourceMedical Oncology Department, Hospital de Mataró, Carretera de la Cirera, s/n, 08304 Mataró, Barcelona, Spain. jremon@csdm.cat
- Cancer treatment reviews.Cancer Treat Rev.2013 Oct;39(6):584-91. doi: 10.1016/j.ctrv.2012.12.005. Epub 2012 Dec 28.
- Malignant pleural mesothelioma (MPM) is a rare and aggressive malignancy of the pleura associated with exposure to asbestos. Its incidence is anticipated to increase over the next 10years in both Europe and the developing nations. In advanced disease, chemotherapy is the cornerstone of treatment, es
- PMID 23276688
- [Hepatic hydrothorax: Retrospective analysis of a series of 77 patients.]
- Porcel JM, Mas E, Reñé JM, Bielsa S.SourceUnidad de Enfermedades de la Pleura, Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Instituto de Investigación Biomédica de Lleida, Lleida, España. Electronic address: jporcelp@yahoo.es.
- Medicina clinica.Med Clin (Barc).2013 Sep 6. pii: S0025-7753(13)00493-4. doi: 10.1016/j.medcli.2013.06.017. [Epub ahead of print]
- BACKGROUND AND OBJECTIVE: To describe the clinical characteristics, the most effective treatment and survival of cirrhotic patients with hepatic hydrothorax (HH).PATIENTS AND METHOD: Descriptive and retrospective analysis of a cohort of consecutive patients with HH undergoing a diagnostic thoracente
- PMID 24018252
Japanese Journal
- A Rare Case of Inflammatory Myofibroblastic Tumor of the Diaphragmatic Parietal Pleura with Dissemination
- Ueno Tsuyoshi,Yamashita Motohiro,Sawada Shigeki,Suehisa Hiroshi,Kawamoto Hiroaki,Takahata Hiroyuki
- Acta Medica Okayama 69(1), 65-68, 2015-02
- … We report a rare case of advanced diaphragmatic parietal pleural IMT with dissemination. … Intraoperatively, we found the primary tumor arising from the diaphragmatic parietal pleura and a dozen disseminated nodules, and we removed them completely. …
- NAID 120005549930
- 局所麻酔下胸腔鏡により診断し得たサルコイドーシス随伴性胸水の1例
- 石川 宏明,渡辺 裕子,沼田 岳士,箭内 英俊,遠藤 健夫
- 気管支学 : 日本気管支研究会雑誌 36(6), 622-626, 2014-11-25
- 背景.サルコイドーシスは肺や心臓,眼などに非乾酪性肉芽腫を生じる原因不明の全身疾患であるが,胸水を伴う症例は稀である.今回我々は,局所麻酔下胸腔鏡検査を用いてサルコイドーシス随伴性の胸水と診断した1例を経験したので報告する.症例.44歳男性.サルコイドーシスの診断で16年間経過観察していた.経過中,咳嗽と呼吸困難感が出現し,胸部X線検査で右胸水の出現と肺野陰影の増悪を認めた.胸水は滲出性かつリンパ …
- NAID 110009878690
- 3臓器病変を認めたBirt-Hogg-Dube症候群の1例
- 網野 喜彬,松井 芳憲,伊藤 祥隆,山村 健太,白崎 浩樹,小林 弘明,岡藤 和博
- 気管支学 : 日本気管支研究会雑誌 36(6), 599-604, 2014-11-25
- 背景.Birt-Hogg-Dube(BHD)症候群は,肺,腎臓,皮膚の3病変が臨床的特徴とされている常染色体優性の遺伝性疾患である.肺嚢胞,腎腫瘍,毛盤腫を3徴とするBHD症候群の1例を経験したため報告する.症例.65歳女性.労作時呼吸困難を主訴に受診し右自然気胸と診断された.その後の検査で多発肺嚢胞を背景にした再発性気胸,片側性多発腎細胞癌,毛盤腫を認めた.気胸の家族歴があることからBHD症候群 …
- NAID 110009878686
★リンクテーブル★
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- 英
- parietal pleura (KL,Z)
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