Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
it mixes with the blood from the left ventricle and part goes to supply
the lower extremities, though the greater part is carried back to the
placenta through the two umbilical arteries. The fact that the greater
part of the blood traverses the liver accounts for its large size at
birth, while the lower extremities, which receive for the most part
blood that has already circulated through the upper extremities, are of
small size and imperfectly developed.
=Arteries.=--After birth the arterial blood for the general circulation
leaves the heart by the aorta, the main distributing artery of the
body. Through this and its branches it is carried throughout the body
in what, with the return of the venous blood by the venæ cavæ and other
smaller veins, is known as the _systemic circulation_. The _aorta_
ascends from the left ventricle and arches backward to the left over
the root of the left lung to descend along the spinal column at the
left to the fourth lumbar vertebra, about opposite the umbilicus,
where, considerably diminished in size by the branches it has given
off, it divides into the two _common iliacs_. For convenience its
different parts are named, according to their position, the _ascending
aorta_, the _arch of the aorta_, and the _descending aorta_, the last
being subdivided into the _thoracic_ and the _abdominal aorta_.
[Illustration: FIG. 44.--The aortæ and their branches. (Leidy.)]
From the ascending aorta come off the _coronary arteries_ which supply
the heart muscle itself, as the coronary sinuses carry off the venous
blood from the heart. From the arch are given off the _left common
carotid_ and _left subclavian_ and the _innominate_, which divides into
the _right common carotid_ and _right subclavian_.
The _common carotids_ pass up the neck behind the sterno-cleido-mastoid
muscles in a line from the sterno-clavicular joint to a point midway
between the mastoid process and the angle of the lower jaw and divide
opposite the upper border of the thyroid cartilage into the _internal_
and _external carotids_, of which the former with its branches supplies
the anterior part of the brain, the eye and forehead, and the latter
the neck and face.
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