脑和脊髓的被膜血管课件

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,*,*,脑和脊髓的被膜与血管,脑脊循环,The Meninges and Blood,Vessels,of Brain and Spinal Cord,the Cerebrospinal Fluid,脑和脊髓的被膜与血管,1,脑和脊髓的被膜,The Meninges of Brain and Spinal cord,硬膜 dura mater,蛛网膜 arachnoid,软膜 pia mater,脑和脊髓的被膜,2,脊髓的被膜,The meninges of spinal,cord,硬脊膜,spinal dura mater,脊髓蛛网膜,spinal arachnoid mater,软脊膜,spinal pia mater,脊髓的被膜,3,1、硬脊膜 spinal dura mater,硬膜外隙,硬脊膜,枇骨火孔边緣-S2水平。,硬媵外陳 Epidural space,位置,内容物,特点,临床意义:硬膜外麻醉,Subdural space硬膜下隙,32,脊神经根,6(仔髓,1、硬脊膜 spinal dura mater,4,2、脊髓蛛网膜 Spinal,arachnoid mater,特点;缺乏血管和神经,与脑蛛网膳相延续,Subarachnoid space蛛,网膜下隙,Terminal cistern,终池,脊髓下端一S2水平,内合马尾和终丝,蛛网膜下隙,腰穿,终池,2、脊髓蛛网膜 Spinal,5,Lumbar spinal puncture,Lumbar spinal puncture,6,3、 Spinal pia mater,软脊膜,特点,齿状韧带,血管丰富,深入沟裂,Filum terminale,终丝,Denticulate ligament,齿状韧帶,3、 Spinal pia mater,7,脑的被膜,The Meninges of Brain,Cerebral dural mater硬脑膜,Cerebral arachnoid mater脑蛛网膜,Cerebral pia mater软脑膜,脑的被膜,8,硬脑膜 cerebral dural mater,1、特点,坚韧、无弹性,两层合成,与颅盖骨连接疏松,与颅底骨结合紧密,硬脑膜 cerebral dural mater,9,2、形成结构,1)四个隔幕,Cerebral falx,大脑镰,Tentorium of cerebellum,小脑幕,Cerebellar falx,小脑镰,Diaphragma sellae,鞍隔,2、形成结构,10,脑和脊髓的被膜血管课件,11,脑和脊髓的被膜血管课件,12,脑和脊髓的被膜血管课件,13,脑和脊髓的被膜血管课件,14,脑和脊髓的被膜血管课件,15,脑和脊髓的被膜血管课件,16,脑和脊髓的被膜血管课件,17,脑和脊髓的被膜血管课件,18,脑和脊髓的被膜血管课件,19,脑和脊髓的被膜血管课件,20,脑和脊髓的被膜血管课件,21,脑和脊髓的被膜血管课件,22,脑和脊髓的被膜血管课件,23,脑和脊髓的被膜血管课件,24,脑和脊髓的被膜血管课件,25,脑和脊髓的被膜血管课件,26,脑和脊髓的被膜血管课件,27,脑和脊髓的被膜血管课件,28,脑和脊髓的被膜血管课件,29,脑和脊髓的被膜血管课件,30,脑和脊髓的被膜血管课件,31,脑和脊髓的被膜血管课件,32,脑和脊髓的被膜血管课件,33,脑和脊髓的被膜血管课件,34,脑和脊髓的被膜血管课件,35,脑和脊髓的被膜血管课件,36,脑和脊髓的被膜血管课件,37,脑和脊髓的被膜血管课件,38,脑和脊髓的被膜血管课件,39,脑和脊髓的被膜血管课件,40,脑和脊髓的被膜血管课件,41,脑和脊髓的被膜血管课件,42,脑和脊髓的被膜血管课件,43,脑和脊髓的被膜血管课件,44,脑和脊髓的被膜血管课件,45,脑和脊髓的被膜血管课件,46,脑和脊髓的被膜血管课件,47,