腦積水診治及進(jìn)展課件

腦積水的診治及進(jìn)展金法主治醫(yī)師腦積水的診治及進(jìn)展1主要內(nèi)容腦脊液生理二.腦積水診斷腦積水治療四.分流手術(shù)并發(fā)癥五.相關(guān)研究進(jìn)展主要內(nèi)容2walterDandy、腦脊液生理ThePersonalSideofaPremierNeurosurgeonwalterDandy31CSF產(chǎn)生部位腦脊液(Cerebra|Spina|FudLateralventricles主要生產(chǎn)于:側(cè)腦室脈絡(luò)叢95%■側(cè)腦室脈絡(luò)叢oramanofMonroThirdvenir■第三、四腦室脈絡(luò)叢ForamencfLuschka■室管膜上皮Foramenof■神經(jīng)根套袖FIGURE6.2Cerbrospinalfluidfowthroughtheventricularsystom.口細(xì)胞間隙1CSF產(chǎn)生部位42CsF循環(huán)途徑FalxcerebriFrameBrideduChoicepeavTendinumSedanapertureSubamehnodanapertureoltourthwnrrrhn2CsF循環(huán)途徑53CSF吸收部位1914年Dand“Bulkflow"經(jīng)典理論a)大通道)小通道3CSF吸收部位64CSF部分參數(shù)嬰兒-50ml(totalvolume)成人-150m(totalvolume分布-50%顱腔and50%脊髓腔生產(chǎn)速率:新生兒-25m/d成人-500m/(030.35m/min)4CSF部分參數(shù)7eCP:小兒40-100mmHO;成人80180mmHOoRateofCSfproductionnoTdependentonICEoCSfabsorptioninarachnoidvillidependentonICPeCP:小兒40-100mmHO;成人80180mmHO8錢治,大腦還有可能二度發(fā)”1二、腦積水診斷錢治,91,腦積水定義顱內(nèi)蛛網(wǎng)膜下腔或腦室內(nèi)的腦脊液異常積聚,使其部分或全部異常擴(kuò)大腦內(nèi)積水腦外積水1,腦積水定義10腦積水診治及進(jìn)展課件11腦積水診治及進(jìn)展課件12腦積水診治及進(jìn)展課件13腦積水診治及進(jìn)展課件14腦積水診治及進(jìn)展課件15腦積水診治及進(jìn)展課件16腦積水診治及進(jìn)展課件17腦積水診治及進(jìn)展課件18腦積水診治及進(jìn)展課件19腦積水診治及進(jìn)展課件20腦積水診治及進(jìn)展課件21腦積水診治及進(jìn)展課件22腦積水診治及進(jìn)展課件23腦積水診治及進(jìn)展課件24腦積水診治及進(jìn)展課件25腦積水診治及進(jìn)展課件26腦積水診治及進(jìn)展課件27腦積水診治及進(jìn)展課件28腦積水診治及進(jìn)展課件29腦積水診治及進(jìn)展課件30腦積水診治及進(jìn)展課件31腦積水診治及進(jìn)展課件32腦積水診治及進(jìn)展課件33腦積水診治及進(jìn)展課件34腦積水診治及進(jìn)展課件35腦積水診治及進(jìn)展課件36腦積水診治及進(jìn)展課件37腦積水診治及進(jìn)展課件38腦積水診治及進(jìn)展課件39腦積水診治及進(jìn)展課件40腦積水診治及進(jìn)展課件41腦積水診治及進(jìn)展課件42腦積水診治及進(jìn)展課件43腦積水診治及進(jìn)展課件44腦積水診治及進(jìn)展課件45腦積水診治及進(jìn)展課件46腦積水診治及進(jìn)展課件47腦積水診治及進(jìn)展課件48腦積水診治及進(jìn)展課件49腦積水診治及進(jìn)展課件50腦積水診治及進(jìn)展課件51腦積水診治及進(jìn)展課件52腦積水診治及進(jìn)展課件53腦積水診治及進(jìn)展課件54腦積水診治及進(jìn)展課件55腦積水診治及進(jìn)展課件56腦積水診治及進(jìn)展課件57腦積水診治及進(jìn)展課件58腦積水診治及進(jìn)展課件59腦積水診治及進(jìn)展課件60腦積水診治及進(jìn)展課件61腦積水診治及進(jìn)展課件62腦積水診治及進(jìn)展課件63腦積水診治及進(jìn)展課件64腦積水的診治及進(jìn)展金法主治醫(yī)師腦積水的診治及進(jìn)展65主要內(nèi)容腦脊液生理二.腦積水診斷腦積水治療四.分流手術(shù)并發(fā)癥五.相關(guān)研究進(jìn)展主要內(nèi)容66walterDandy、腦脊液生理ThePersonalSideofaPremierNeurosurgeonwalterDandy671CSF產(chǎn)生部位腦脊液(Cerebra|Spina|FudLateralventricles主要生產(chǎn)于:側(cè)腦室脈絡(luò)叢95%■側(cè)腦室脈絡(luò)叢oramanofMonroThirdvenir■第三、四腦室脈絡(luò)叢ForamencfLuschka■室管膜上皮Foramenof■神經(jīng)根套袖FIGURE6.2Cerbrospinalfluidfowthroughtheventricularsystom.口細(xì)胞間隙1CSF產(chǎn)生部位682CsF循環(huán)途徑FalxcerebriFrameBrideduChoicepeavTendinumSedanapertureSubamehnodanapertureoltourthwnrrrhn2CsF循環(huán)途徑693CSF吸收部位1914年Dand“Bulkflow"經(jīng)典理論a)大通道)小通道3CSF吸收部位704CSF部分參數(shù)嬰兒-50ml(totalvolume)成人-150m(totalvolume分布-50%顱腔and50%脊髓腔生產(chǎn)速率:新生兒-25m/d成人-500m/(030.35m/min)4CSF部分參數(shù)71eCP:小兒40-100mmHO;成人80180mmHOoRateofCSfproductionnoTdependentonICEoCSfabsorptioninarachnoidvillidependentonICPeCP:小兒40-100mmHO;成人80180mmHO72錢治,大腦還有可能二度發(fā)”1二、腦積水診斷錢治,731,腦積水定義顱內(nèi)蛛網(wǎng)膜下腔或腦室內(nèi)的腦脊液異常積聚,使其部分或全部異常擴(kuò)大腦內(nèi)積水腦外積水1,腦積水定義74腦積水診治及進(jìn)展課件75腦積水診治及進(jìn)展課件76腦積水診治及進(jìn)展課件77腦積水診治及進(jìn)展課件78腦積水診治及進(jìn)展課件79腦積水診治及進(jìn)展課件80腦積水診治及進(jìn)展課件81腦積水診治及進(jìn)展課件82腦積水診治及進(jìn)展課件83腦積水診治及進(jìn)展課件84腦積水診治及進(jìn)展課件85腦積水診治及進(jìn)展課件86腦積水診治及進(jìn)展課件87腦積水診治及進(jìn)展課件88腦積水診治及進(jìn)展課件89腦積水診治及進(jìn)展課件90腦積水診治及進(jìn)展課件91腦積水診治及進(jìn)展課件92腦積水診治及進(jìn)展課件93腦積水診治及進(jìn)展課件94腦積水診治及進(jìn)展課件95腦積水診治及進(jìn)展課件96腦積水診治及進(jìn)展課件97腦積水診治及進(jìn)展課件98腦積水診治及進(jìn)展課件99腦積水診治及進(jìn)展課件100腦積水診治及進(jìn)展課件101腦積水診治及進(jìn)展課件102腦積水診治及進(jìn)展課件103腦積水診治及進(jìn)展課件104腦積水診治及進(jìn)展課件105腦積水診治及進(jìn)展課件106腦積水診治及進(jìn)展課件107腦積水診治及進(jìn)展課件108腦積水診治及進(jìn)展課件109腦積水診治及進(jìn)展課件110腦積水診治及進(jìn)展課件111腦積水診治及進(jìn)展課件112腦積水診治及進(jìn)展課件113腦積水診治及進(jìn)展課件114腦積水診治及進(jìn)展課件115腦積水診治及進(jìn)展課件116腦積水診治及進(jìn)