Bronchopulmonary segment
1. Definition: it is anatomical , functional and surgical
subdivision of lung which is supplied by
tertiary (segmental ) bronchus
2.
Conducting
part of bronchopulmonary segment is supplied by bronchial artery (contain O 2
rich blood)
3.
And
respiratory part of bronchopulmonary segment is supplied by pulmonary
artery (contain CO2 rich blood )
4. Shape : roughly pyramidal in
shape,
5. Apex
of pyramid towards the hilum
6. Base
of pyramid towards the surface
7. Each
segment is separated by other by connective tissue , which contain pulmonary
vein (O2 rich blood) and lymphatic.
8. Importance: it is important because a
surgeon can remove one segment without seriously disrupting surrounding segment
9. Number of bronchopulmonary segment in each lung : 10
Right
lung
|
Upper lobe
|
1.
Apical
|
2.
Posterior
|
3.
Anterior
|
Middle lobe
|
4.
Lateral
|
5.
Medial
|
Lower lobe
|
1.
Apical
|
2.
Medial basal
|
3.
Anterior basal
|
4.
Lateral basal
|
5.
Posterior basal
|
Left
lung
|
Upper lobe
|
1.
Apical
|
2.
Posterior
|
3.
Anterior
|
4.
Superior lingula
|
5.
Inferior lingula
|
|
Lower lobe
|
6.Apical
|
7.Medial basal
|
8.Anterior basal
|
9.Lateral basal
|
10.Posterior
basal
|
On both sides the apical segment of
lower lobe is supplied by a bronchus which is the highest to arise from the posterior surface of bronchial tree
Material aspirated by a supine,
comatose, or anaesthetized patient would tend to gravitate into apical segment
of right lower lobe which consequently a common site for aspiration pneumonia
and abscess
Formation
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