颅脑外伤讲课课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,颅脑损伤,Craniocerebral injury,湖南省人民医院神经外科,孙圣礼,颅脑损伤,1,Neuroanatomy,Neuroanatomy,2,头皮,头皮结构:皮肤皮下组织帽状腱膜帽状腱膜下层颅骨骨膜,头皮血管神经:前,中,后组眶,颞,枕命名,颅骨:额1顶2颞2枕1蝶1筛1共8块,颅顶:脑膜中动脉沟或管,颅底:前,中,后窝视神经孔,眶上裂(三叉1),卵圆孔(三叉,2),圆孔(三叉3),棘孔(脑膜中),枕骨大孔,颅囟:前,后,前外2,后外2,枕囟,共6个,颅缝:冠状矢状人字,脑膜,硬脑膜:大脑镰小脑幕小脑镰鞍隔三叉神经半月节腔,( MECKEL腔),蛛网膜及蛛网膜下腔:小脑延髓池桥池脚间池视交叉池终板池,胼DI体池侧裂池四叠体池环池小脑溪池,头皮,3,大脑半球:额顶颞枕岛边缘(穹窿海马杏仁)叶,杋能定位:运动运动前眼球运动视觉听觉嗅觉内脏语言,大脑白质:联合纤维(短长联合)连合纤维(前海马胼坻体,连合)投射纤维(内囊穹隆外囊),间脑,丘脑,丘脑下部:视前核室旁核视上核结节漏斗核腹内侧核腹外,侧核及后核,小脑,脑千:3-12对颅神经核及神经,大脑半球:额顶颞枕岛边缘(穹窿海马杏仁)叶,4,脑室及脑脊液:1-4脑室,脊髓:前运动后感觉深交叉浅双行2节段,脑血管,基底动脉环(大脑前前交通颈内后交通大脑后椎动脉),静脉:浅静脉:上(8-15含 Trolard)中下(1-7含 Labbe),基底静脉( Rosenthal),深静脉:大脑内大脑大,静脉窦:上矢状窦下矢状窦直窦横窦和乙状窦枕窦,海绵窦及间窦蝶顶窦岩上窦岩下窦基底静,脉丛,脑室及脑脊液:1-4脑室,5,ibrahim sello,danaides antenor,An mare,状密,ibrahim sello,6,Cerebrum,Corpus,callosum,Ventricles,Thalamus,Hypothalamus,Pituitary,g,Pons,Cerebellum,Medulla,Brain,stem,Cerebrum,7,Gustatory,Brain stem,Gustatory,8,概述,颅脑损伤在平时或战时均常见,仅次于四,肢伤,占全身部位损伤的20%;由于伤及中,枢神经系统,死亡率和致残率均较高,主要原因:交通事故、建筑、工矿事故,运动损伤和高处坠落伤等,概述,9,Classification I,发生机理分类,直接暴力,间接暴力,Classification I,10,颅脑外伤讲课课件,11,颅脑外伤讲课课件,12,颅脑外伤讲课课件,13,颅脑外伤讲课课件,14,颅脑外伤讲课课件,15,颅脑外伤讲课课件,16,颅脑外伤讲课课件,17,颅脑外伤讲课课件,18,颅脑外伤讲课课件,19,颅脑外伤讲课课件,20,颅脑外伤讲课课件,21,颅脑外伤讲课课件,22,颅脑外伤讲课课件,23,颅脑外伤讲课课件,24,颅脑外伤讲课课件,25,颅脑外伤讲课课件,26,颅脑外伤讲课课件,27,颅脑外伤讲课课件,28,颅脑外伤讲课课件,29,颅脑外伤讲课课件,30,颅脑外伤讲课课件,31,颅脑外伤讲课课件,32,颅脑外伤讲课课件,33,颅脑外伤讲课课件,34,颅脑外伤讲课课件,35,颅脑外伤讲课课件,36,颅脑外伤讲课课件,37,颅脑外伤讲课课件,38,颅脑外伤讲课课件,39,颅脑外伤讲课课件,40,颅脑外伤讲课课件,41,颅脑外伤讲课课件,42,颅脑外伤讲课课件,43,颅脑外伤讲课课件,44,颅脑外伤讲课课件,45,颅脑外伤讲课课件,46,颅脑外伤讲课课件,47,颅脑外伤讲课课件,48,颅脑外伤讲课课件,49,颅脑外伤讲课课件,50,颅脑外伤讲课课件,51,颅脑外伤讲课课件,52,颅脑外伤讲课课件,53,颅脑外伤讲课课件,54,颅脑外伤讲课课件,55,颅脑外伤讲课课件,56,颅脑外伤讲课课件,57,颅脑外伤讲课课件,58,颅脑外伤讲课课件,59,颅脑外伤讲课课件,60,颅脑外伤讲课课件,61,颅脑外伤讲课课件,62,颅脑外伤讲课课件,63,颅脑外伤讲课课件,64,颅脑外伤讲课课件,65,颅脑外伤讲课课件,66,颅脑外伤讲课课件,67,颅脑外伤讲课课件,68,颅脑外伤讲课课件,69,颅脑外伤讲课课件,70,颅脑外伤讲课课件,71,颅脑外伤讲课课件,72,颅脑外伤讲课课件,73,颅脑外伤讲课课件,74,颅脑外伤讲课课件,75,颅脑外伤讲课课件,76,颅脑外伤讲课课件,77,颅脑外伤讲课课件,78,颅脑外伤讲课课件,79,颅脑外伤讲课课件,80,颅脑外伤讲课课件,81,颅脑外伤讲课课件,82,颅脑外伤讲课课件,83,颅脑外伤讲课课件,84,颅脑外伤讲课课件,85,颅脑外伤讲课课件,86,颅脑外伤讲课课件,87,颅脑外伤讲课课件,88,颅脑外伤讲课课件,89,颅脑外伤讲课课件,90,颅脑外伤讲课课件,91,颅脑外伤讲课课件,92,颅脑外伤讲课课件,93,颅脑外伤讲课课件,94,颅脑外伤讲课课件,95,