顱腦外傷及顱腦腫瘤課件

NeuroradiologyofHeadInju頓腦外傷及顱腦腫瘤鐵集團醫(yī)院放射中心王獻忠NeuroradiologyofHeadInju1◆EH-硬膜外血概論腫二腦外病灶◆SDH—一硬膜下血EDHISDH◆ChroniCSDhChronicSDH慢性硬膜下血腫SDEBrain腦內(nèi)病壯contusion一腦挫Braincontusion傷.SAH◆SAH—蛛網(wǎng)膜下IVH腔出血.骨折及氣腦◆ⅣH一腦室出血五頭部外傷後遺癥◆EH-硬膜外血2e分類ClassificationofHeadInjury概論瑙外病灶函Extracerebrallesions.SubduralhermatormiaEDHSutdhrraleflusionAlotEpiduralhematomaChronicSDhBraincontusion(edema,hemonhage)e三,腦內(nèi)病灶參出血ubarachnoidherriotBraincontusionparaventricularhemorrhageWH&gOpencranialinjurySkullfracture骨折及氣腦Pneumoencephalos五.頭部外傷後遺癥/分e分類3同撞擊同側(cè)出血/EDHScal●頭皮胛脹同撞擊4對沖傷Counter-coupInjuryScalpswellinsThelesionisintheoppositesideofimpactsites30%0incidenceSDHacture損害在對應的撞擊部位;30%的發(fā)生率對沖傷5上e瞿被髏中秘外趾舯DContusionhemorthagewithsomesah●挫裂傷伴蛛網(wǎng)膜下腔出血ThesamedaEDH12hourslater.acuteSDHandEDH同一天,12小時后上e瞿被髏中秘外趾舯D6e遲發(fā)性出血DelayedHemorrhageDecompressionhemorhage(delayedhemorhageaftersurgicaldeconpressionofanotherlesion)減壓出血:外科減壓術(shù)后的遲發(fā)出edemaAcuteEDhPdmm穿術(shù)后,血腫清除,theedhwasrdelayedcontusionhemorrhagee遲發(fā)性出血7腦外損傷二ExtracerebrallesionsEpiduralhematomaSubduralhenatornasubduraleffusionDura.硬腦喉Epidural(硬腦膜上)Subdural硬脂膜下腦外損傷8AcuteEpiduralHematoma8Fusiformshape(紡婭狀)CsAlwayscausingstrongmasselfe●吊有占位效應AcuteEpiduralHematoma9AcuteEpiduralHematomadoThehematomastillcontains血此鋁動worstillhasactivebleeding83Round、stream-likefillling血時inthehematomaAcuteEpiduralHematoma10顱腦外傷及顱腦腫瘤課件11顱腦外傷及顱腦腫瘤課件12顱腦外傷及顱腦腫瘤課件13顱腦外傷及顱腦腫瘤課件14顱腦外傷及顱腦腫瘤課件15顱腦外傷及顱腦腫瘤課件16顱腦外傷及顱腦腫瘤課件17顱腦外傷及顱腦腫瘤課件18顱腦外傷及顱腦腫瘤課件19顱腦外傷及顱腦腫瘤課件20顱腦外傷及顱腦腫瘤課件21顱腦外傷及顱腦腫瘤課件22顱腦外傷及顱腦腫瘤課件23顱腦外傷及顱腦腫瘤課件24顱腦外傷及顱腦腫瘤課件25顱腦外傷及顱腦腫瘤課件26顱腦外傷及顱腦腫瘤課件27顱腦外傷及顱腦腫瘤課件28顱腦外傷及顱腦腫瘤課件29顱腦外傷及顱腦腫瘤課件30顱腦外傷及顱腦腫瘤課件31顱腦外傷及顱腦腫瘤課件32顱腦外傷及顱腦腫瘤課件33顱腦外傷及顱腦腫瘤課件34顱腦外傷及顱腦腫瘤課件35顱腦外傷及顱腦腫瘤課件36顱腦外傷及顱腦腫瘤課件37顱腦外傷及顱腦腫瘤課件38顱腦外傷及顱腦腫瘤課件39顱腦外傷及顱腦腫瘤課件40顱腦外傷及顱腦腫瘤課件41顱腦外傷及顱腦腫瘤課件42顱腦外傷及顱腦腫瘤課件43顱腦外傷及顱腦腫瘤課件44顱腦外傷及顱腦腫瘤課件45顱腦外傷及顱腦腫瘤課件46顱腦外傷及顱腦腫瘤課件47顱腦外傷及顱腦腫瘤課件48顱腦外傷及顱腦腫瘤課件49顱腦外傷及顱腦腫瘤課件50顱腦外傷及顱腦腫瘤課件51顱腦外傷及顱腦腫瘤課件52顱腦外傷及顱腦腫瘤課件53顱腦外傷及顱腦腫瘤課件54顱腦外傷及顱腦腫瘤課件55顱腦外傷及顱腦腫瘤課件56顱腦外傷及顱腦腫瘤課件57顱腦外傷及顱腦腫瘤課件58顱腦外傷及顱腦腫瘤課件59顱腦外傷及顱腦腫瘤課件60顱腦外傷及顱腦腫瘤課件61顱腦外傷及顱腦腫瘤課件62顱腦外傷及顱腦腫瘤課件63顱腦外傷及顱腦腫瘤課件64顱腦外傷及顱腦腫瘤課件65顱腦外傷及顱腦腫瘤課件66顱腦外傷及顱腦腫瘤課件67顱腦外傷及顱腦腫瘤課件68顱腦外傷及顱腦腫瘤課件69顱腦外傷及顱腦腫瘤課件70顱腦外傷及顱腦腫瘤課件71顱腦外傷及顱腦腫瘤課件72顱腦外傷及顱腦腫瘤課件73顱腦外傷及顱腦腫瘤課件74顱腦外傷及顱腦腫瘤課件75顱腦外傷及顱腦腫瘤課件76顱腦外傷及顱腦腫瘤課件77顱腦外傷及顱腦腫瘤課件78NeuroradiologyofHeadInju頓腦外傷及顱腦腫瘤鐵集團醫(yī)院放射中心王獻忠NeuroradiologyofHeadInju79◆EH-硬膜外血概論腫二腦外病灶◆SDH—一硬膜下血EDHISDH◆ChroniCSDhChronicSDH慢性硬膜下血腫SDEBrain腦內(nèi)病壯contusion一腦挫Braincontusion傷.SAH◆SAH—蛛網(wǎng)膜下IVH腔出血.骨折及氣腦◆ⅣH一腦室出血五頭部外傷後遺癥◆EH-硬膜外血80e分類ClassificationofHeadInjury概論瑙外病灶函Extracerebrallesions.SubduralhermatormiaEDHSutdhrraleflusionAlotEpiduralhematomaChronicSDhBraincontusion(edema,hemonhage)e三,腦內(nèi)病灶參出血ubarachnoidherriotBraincontusionparaventricularhemorrhageWH&gOpencranialinjurySkullfracture骨折及氣腦Pneumoencephalos五.頭部外傷後遺癥/分e分類81同撞擊同側(cè)出血/EDHScal●頭皮胛脹同撞擊82對沖傷Counter-coupInjuryScalpswellinsThelesionisintheoppositesideofimpactsites30%0incidenceSDHacture損害在對應的撞擊部位;30%的發(fā)生率對沖傷83上e瞿被髏中秘外趾舯DContusionhemorthagewithsomesah●挫裂傷伴蛛網(wǎng)膜下腔出血ThesamedaEDH12hourslater.acuteSDHandEDH同一天,12小時后上e瞿被髏中秘外趾舯D84e遲發(fā)性出血DelayedHemorrhageDecompressionhemorhage(delayedhemorhageaftersurgicaldeconpressionofanotherlesion)減壓出血:外科減壓術(shù)后的遲發(fā)出edemaAcuteEDhPdmm穿術(shù)后,血腫清除,theedhwasrdelayedcontusionhemorrhagee遲發(fā)性出血85腦外損傷二ExtracerebrallesionsEpiduralhematomaSubduralhenatornasubduraleffusionDura.硬腦喉Epidural(硬腦膜上)Subdural硬脂膜下腦外損傷86AcuteEpiduralHematoma8Fusiformshape(紡婭狀)CsAlwayscausingstrongmasselfe●吊有占位效應AcuteEpiduralHematoma87AcuteEpiduralHematomadoThehematomastillcontains血此鋁動worstillhasactivebleeding83Round、stream-likefillling血時inthehematomaAcuteEpiduralHematoma88顱腦外傷及顱腦腫瘤課件89顱腦外傷及顱腦腫瘤課件90顱腦外傷及顱腦腫瘤課件91顱腦外傷及顱腦腫瘤課件92顱腦外傷及顱腦腫瘤課件93顱腦外傷及顱腦腫瘤課件94顱腦外傷及顱腦腫瘤課件95顱腦外傷及顱腦腫瘤課件96顱腦外傷及顱腦腫瘤課件97顱腦外傷及顱腦腫瘤課件98顱腦外傷及顱腦腫瘤課件99顱腦外傷及顱腦腫瘤課件100顱腦外傷及顱腦腫瘤課件101顱腦外傷及顱腦腫瘤課件102顱腦外傷及顱腦腫瘤課件103顱腦外傷及顱腦腫瘤課件104顱腦外傷及顱腦腫瘤課件105顱腦外傷及顱腦腫瘤課件106顱腦外傷及顱腦腫瘤課件107顱腦外傷及顱腦腫瘤課件108顱腦外傷及顱腦腫瘤課件109顱腦外傷及顱腦腫瘤課件110顱腦外傷及顱腦腫瘤課件111顱腦外傷及顱腦腫瘤課件112顱腦外傷及顱腦腫瘤課件113顱腦外傷及顱腦腫瘤課件114顱腦外傷及顱腦腫瘤課件115顱腦外傷及顱腦腫瘤課件116顱腦外傷及顱腦腫瘤課件117顱腦外傷及顱腦腫瘤課件118顱腦外傷及顱腦腫瘤課件119顱腦外傷及顱腦腫瘤課件120顱腦外傷及顱腦腫瘤課件121顱腦外傷及顱腦腫瘤課件122顱腦外傷及顱腦腫瘤課件123顱腦外傷及顱腦腫瘤課件124顱腦外傷及顱腦腫瘤課件125顱腦外傷及顱腦腫瘤課件126顱腦外傷及顱腦腫瘤課件127顱腦外傷及顱腦腫瘤課件128顱腦外傷及顱腦腫瘤課件129顱腦外傷及顱腦腫瘤課件130顱腦外傷及顱腦腫瘤課件131顱腦外傷及顱腦腫瘤課件132顱腦外傷及顱腦腫瘤課件133顱腦外傷及顱腦腫瘤課件134顱腦外傷及顱腦腫瘤課件135顱腦外傷及顱腦腫瘤課件136顱腦外傷及顱腦腫瘤課件137顱腦外傷及顱腦腫瘤課件138顱腦外傷及顱腦腫瘤課件139顱腦外傷及顱腦腫瘤課件14