颅脑外伤及颅脑肿瘤课件

NeuroradiologyofHeadInju顿脑外伤及颅脑肿瘤铁集团医院放射中心王献忠NeuroradiologyofHeadInju1◆EH-硬膜外血概論肿二腦外病灶◆SDH—一硬膜下血EDHISDH◆ChroniCSDhChronicSDH慢性硬膜下血肿SDEBrain腦內病壯contusion一脑挫Braincontusion伤.SAH◆SAH—蛛网膜下IVH腔出血.骨折及氣腦◆ⅣH一脑室出血五頭部外傷後遺症◆EH-硬膜外血2e分类ClassificationofHeadInjury概論瑙外病灶函Extracerebrallesions.SubduralhermatormiaEDHSutdhrraleflusionAlotEpiduralhematomaChronicSDhBraincontusion(edema,hemonhage)e三,腦內病灶参出血ubarachnoidherriotBraincontusionparaventricularhemorrhageWH&gOpencranialinjurySkullfracture骨折及氣腦Pneumoencephalos五.頭部外傷後遗症/分e分类3同撞擊同侧出血/EDHScal●头皮胛胀同撞擊4对冲伤Counter-coupInjuryScalpswellinsThelesionisintheoppositesideofimpactsites30%0incidenceSDHacture损害在对应的撞击部位;30%的发生率对冲伤5上e瞿被髏中秘外趾舯DContusionhemorthagewithsomesah●挫裂伤伴蛛网膜下腔出血ThesamedaEDH12hourslater.acuteSDHandEDH同一天,12小时后上e瞿被髏中秘外趾舯D6e迟发性出血DelayedHemorrhageDecompressionhemorhage(delayedhemorhageaftersurgicaldeconpressionofanotherlesion)减压出血:外科减压术后的迟发出edemaAcuteEDhPdmm穿术后,血肿清除,theedhwasrdelayedcontusionhemorrhagee迟发性出血7脑外损伤二ExtracerebrallesionsEpiduralhematomaSubduralhenatornasubduraleffusionDura.硬腦喉Epidural(硬腦膜上)Subdural硬脂膜下脑外损伤8AcuteEpiduralHematoma8Fusiformshape(紡娅狀)CsAlwayscausingstrongmasselfe●吊有占位效应AcuteEpiduralHematoma9AcuteEpiduralHematomadoThehematomastillcontains血此铝动worstillhasactivebleeding83Round、stream-likefillling血时inthehematomaAcuteEpiduralHematoma10颅脑外伤及颅脑肿瘤课件11颅脑外伤及颅脑肿瘤课件12颅脑外伤及颅脑肿瘤课件13颅脑外伤及颅脑肿瘤课件14颅脑外伤及颅脑肿瘤课件15颅脑外伤及颅脑肿瘤课件16颅脑外伤及颅脑肿瘤课件17颅脑外伤及颅脑肿瘤课件18颅脑外伤及颅脑肿瘤课件19颅脑外伤及颅脑肿瘤课件20颅脑外伤及颅脑肿瘤课件21颅脑外伤及颅脑肿瘤课件22颅脑外伤及颅脑肿瘤课件23颅脑外伤及颅脑肿瘤课件24颅脑外伤及颅脑肿瘤课件25颅脑外伤及颅脑肿瘤课件26颅脑外伤及颅脑肿瘤课件27颅脑外伤及颅脑肿瘤课件28颅脑外伤及颅脑肿瘤课件29颅脑外伤及颅脑肿瘤课件30颅脑外伤及颅脑肿瘤课件31颅脑外伤及颅脑肿瘤课件32颅脑外伤及颅脑肿瘤课件33颅脑外伤及颅脑肿瘤课件34颅脑外伤及颅脑肿瘤课件35颅脑外伤及颅脑肿瘤课件36颅脑外伤及颅脑肿瘤课件37颅脑外伤及颅脑肿瘤课件38颅脑外伤及颅脑肿瘤课件39颅脑外伤及颅脑肿瘤课件40颅脑外伤及颅脑肿瘤课件41颅脑外伤及颅脑肿瘤课件42颅脑外伤及颅脑肿瘤课件43颅脑外伤及颅脑肿瘤课件44颅脑外伤及颅脑肿瘤课件45颅脑外伤及颅脑肿瘤课件46颅脑外伤及颅脑肿瘤课件47颅脑外伤及颅脑肿瘤课件48颅脑外伤及颅脑肿瘤课件49颅脑外伤及颅脑肿瘤课件50颅脑外伤及颅脑肿瘤课件51颅脑外伤及颅脑肿瘤课件52颅脑外伤及颅脑肿瘤课件53颅脑外伤及颅脑肿瘤课件54颅脑外伤及颅脑肿瘤课件55颅脑外伤及颅脑肿瘤课件56颅脑外伤及颅脑肿瘤课件57颅脑外伤及颅脑肿瘤课件58颅脑外伤及颅脑肿瘤课件59颅脑外伤及颅脑肿瘤课件60颅脑外伤及颅脑肿瘤课件61颅脑外伤及颅脑肿瘤课件62颅脑外伤及颅脑肿瘤课件63颅脑外伤及颅脑肿瘤课件64颅脑外伤及颅脑肿瘤课件65颅脑外伤及颅脑肿瘤课件66颅脑外伤及颅脑肿瘤课件67颅脑外伤及颅脑肿瘤课件68颅脑外伤及颅脑肿瘤课件69颅脑外伤及颅脑肿瘤课件70颅脑外伤及颅脑肿瘤课件71颅脑外伤及颅脑肿瘤课件72颅脑外伤及颅脑肿瘤课件73颅脑外伤及颅脑肿瘤课件74颅脑外伤及颅脑肿瘤课件75颅脑外伤及颅脑肿瘤课件76颅脑外伤及颅脑肿瘤课件77颅脑外伤及颅脑肿瘤课件78NeuroradiologyofHeadInju顿脑外伤及颅脑肿瘤铁集团医院放射中心王献忠NeuroradiologyofHeadInju79◆EH-硬膜外血概論肿二腦外病灶◆SDH—一硬膜下血EDHISDH◆ChroniCSDhChronicSDH慢性硬膜下血肿SDEBrain腦內病壯contusion一脑挫Braincontusion伤.SAH◆SAH—蛛网膜下IVH腔出血.骨折及氣腦◆ⅣH一脑室出血五頭部外傷後遺症◆EH-硬膜外血80e分类ClassificationofHeadInjury概論瑙外病灶函Extracerebrallesions.SubduralhermatormiaEDHSutdhrraleflusionAlotEpiduralhematomaChronicSDhBraincontusion(edema,hemonhage)e三,腦內病灶参出血ubarachnoidherriotBraincontusionparaventricularhemorrhageWH&gOpencranialinjurySkullfracture骨折及氣腦Pneumoencephalos五.頭部外傷後遗症/分e分类81同撞擊同侧出血/EDHScal●头皮胛胀同撞擊82对冲伤Counter-coupInjuryScalpswellinsThelesionisintheoppositesideofimpactsites30%0incidenceSDHacture损害在对应的撞击部位;30%的发生率对冲伤83上e瞿被髏中秘外趾舯DContusionhemorthagewithsomesah●挫裂伤伴蛛网膜下腔出血ThesamedaEDH12hourslater.acuteSDHandEDH同一天,12小时后上e瞿被髏中秘外趾舯D84e迟发性出血DelayedHemorrhageDecompressionhemorhage(delayedhemorhageaftersurgicaldeconpressionofanotherlesion)减压出血:外科减压术后的迟发出edemaAcuteEDhPdmm穿术后,血肿清除,theedhwasrdelayedcontusionhemorrhagee迟发性出血85脑外损伤二ExtracerebrallesionsEpiduralhematomaSubduralhenatornasubduraleffusionDura.硬腦喉Epidural(硬腦膜上)Subdural硬脂膜下脑外损伤86AcuteEpiduralHematoma8Fusiformshape(紡娅狀)CsAlwayscausingstrongmasselfe●吊有占位效应AcuteEpiduralHematoma87AcuteEpiduralHematomadoThehematomastillcontains血此铝动worstillhasactivebleeding83Round、stream-likefillling血时inthehematomaAcuteEpiduralHematoma88颅脑外伤及颅脑肿瘤课件89颅脑外伤及颅脑肿瘤课件90颅脑外伤及颅脑肿瘤课件91颅脑外伤及颅脑肿瘤课件92颅脑外伤及颅脑肿瘤课件93颅脑外伤及颅脑肿瘤课件94颅脑外伤及颅脑肿瘤课件95颅脑外伤及颅脑肿瘤课件96颅脑外伤及颅脑肿瘤课件97颅脑外伤及颅脑肿瘤课件98颅脑外伤及颅脑肿瘤课件99颅脑外伤及颅脑肿瘤课件100颅脑外伤及颅脑肿瘤课件101颅脑外伤及颅脑肿瘤课件102颅脑外伤及颅脑肿瘤课件103颅脑外伤及颅脑肿瘤课件104颅脑外伤及颅脑肿瘤课件105颅脑外伤及颅脑肿瘤课件106颅脑外伤及颅脑肿瘤课件107颅脑外伤及颅脑肿瘤课件108颅脑外伤及颅脑肿瘤课件109颅脑外伤及颅脑肿瘤课件110颅脑外伤及颅脑肿瘤课件111颅脑外伤及颅脑肿瘤课件112颅脑外伤及颅脑肿瘤课件113颅脑外伤及颅脑肿瘤课件114颅脑外伤及颅脑肿瘤课件115颅脑外伤及颅脑肿瘤课件116颅脑外伤及颅脑肿瘤课件117颅脑外伤及颅脑肿瘤课件118颅脑外伤及颅脑肿瘤课件119颅脑外伤及颅脑肿瘤课件120颅脑外伤及颅脑肿瘤课件121颅脑外伤及颅脑肿瘤课件122颅脑外伤及颅脑肿瘤课件123颅脑外伤及颅脑肿瘤课件124颅脑外伤及颅脑肿瘤课件125颅脑外伤及颅脑肿瘤课件126颅脑外伤及颅脑肿瘤课件127颅脑外伤及颅脑肿瘤课件128颅脑外伤及颅脑肿瘤课件129颅脑外伤及颅脑肿瘤课件130颅脑外伤及颅脑肿瘤课件131颅脑外伤及颅脑肿瘤课件132颅脑外伤及颅脑肿瘤课件133颅脑外伤及颅脑肿瘤课件134颅脑外伤及颅脑肿瘤课件135颅脑外伤及颅脑肿瘤课件136颅脑外伤及颅脑肿瘤课件137颅脑外伤及颅脑肿瘤课件138颅脑外伤及颅脑肿瘤课件139颅脑外伤及颅脑肿瘤课件14