常见急症影像学陈海松

1,常见危急症影像学表现,青岛大学附属医院放射科 陈海松,2,脑挫裂伤Contusion of brain,3,脑挫裂伤Contusion of brain,4,硬膜外血肿 epidural hematoma,fusiform,5,硬膜外血肿,硬膜外血肿,6,硬膜下血肿 subdural hematoma,Cresent-shapedMass effect,7,硬膜下血肿,8,硬膜下血肿,9,硬膜下血肿,10,脑内血肿,11,脑内血肿,12,脑内血肿,13,病理：单纯血肿,14,蛛网膜下腔出血subarachnoid hemorrhage,15,蛛网膜下腔出血,16,蛛网膜下腔出血,17,蛛网膜下腔出血,18,蛛网膜下腔出血,19,20,正常对照,SAH,动脉瘤Aterial aneurysm,21,SAH的MR表现,22,Para-falx hematoma,23,大脑镰旁少量血肿,24,25,脑梗死Cerebral infarction,26,脑梗死,27,脑梗死,28,大面积脑梗死,DR胸部正侧位,31,气胸pneumothorax,32,33,34,35,DR腹部平片,胃泡Magenblase,37,胃肠道穿孔-膈下游离气体,Gastrointestinal tract perforation -free gas under diaphragm,38,39,40,41,42,43,44,肠梗阻,45,肠梗阻Intestinal obstruction,46,外伤性内脏破裂viscera rupture,47,48,主动脉夹层A型aorta dissection,CT心电门控成像,49,主动脉夹层的临床分型 Stanford分型： A型：夹层累及升主动脉及其以远区域 B型：夹层只累及锁骨下动脉开口以远 DeBakey分型： 型：指夹层起于升主动脉并延伸至胸、腹主动脉 型：指夹层局限于升主动脉 型：夹层仅累及降主动脉及以远区域 a型：夹层局限于胸主动脉 b型：夹层扩展到腹主动脉,50,主动脉夹层A型,51,主动脉夹层A型并升主动脉瘤,52,主动脉夹层B型,53,主动脉壁间血肿,54,腹主动脉瘤,55,肺动脉栓塞pulmonary artery embolism,56,肺动脉栓塞pulmonary artery embolism,57,肺动脉栓塞,58,急症 2013-1-18 17点28 F 60腹痛腹胀2天，无腹泻,59,次日 6:47AM,60,正常下腹部,肠系膜上静脉栓塞superior mesenteric vein embolism,61,肠坏死”行小肠部分切除术后第五天,肠管两段，短者长33cm，肠系膜部分区域出血坏死，部分肠壁呈暗红色。长者长99cm， 肠壁广泛出血坏死，呈暗红色，肠系膜暗红出血坏死状，切面管壁黑色，内含陈旧血性液体。,62,肠系膜上静脉血栓,63,肠系膜上动脉血栓,64,突发的剧烈头痛，应考虑：,急性胸痛的最常见三大病症,蛛网膜