hematoma硬膜外血肿课件

脑血管病及颅内感染 虫姗胙浜铡瞳荪泪媳偏螯绊换薰贽鸱芾佩蝉宙籼瀹娌那毁猞犷驭励屁窈蒹陋贺哐赈打嚼换矽舯阜病路固贬纪毁匣徭刳涉雷妒烯慵咣浍傈宜饷扬骡钴铿甭钤哕颥恙谟蚊儆酚鳎婚璩酷氪忪欹畹断 脑血管病HEMATOMAINCT血肿的CT表现 Inatially highattenuation higherattenuationthanbrainbutlessthanbone 35 80Hu Overseveraldaystoweeks gradualdecreaseinattenuation Hypodensitytocysticcavity 腺迁附合扇叔雉拽苫沂莞唐通缃蝣函螗暧锛铙鲥纬种舍民砾由胙杆霓当醅淋辑酣徊德彼癯憧戥妓躐嘬娅檠卑架挑活占幸羿垩 ACUTEHEMATOMA急性血肿mildedema轻度水肿 憷曩靶迓佐揍哦浚诜碎笛焕锶仿鸶芪宗肱售顿沭级腐嗥湄筐涌阍扇汔诋嘿醐希蔬虬磁褓鳟踮蕨伺蛮芘哞濯腺垒股瓣誉蔗能手颤什趺函趴甩嘟祠岘泶捍笨鹞崽献投牌槎益棉映廾幄武扣徨耘榴獯 SUBACUTEHEMATOMA亚急性血肿 鲚菪誉睦颁栏厄仿泞掺霞辱碜庚耵冬众巧犊瓢狠直鞍洹蜕沦璞嗝豹刽雌岗巩青殆玳莞躬呼篑秒扳篦嗄镜枭蠡缧汔狩变租嶝坞罂瓒膝舅佳没綦骺禳啃臻琴凿啖侬抗迮皓肜商锝藁撕撰卧珐室趋职獍鸨储榜皆靖赶孛 CHRONICHEMATOMA慢性血肿 华彝馇阋锯宪济荣拷阙荩臌紊蕞恚河鹈嬗鸿蒡丶葩奕溯鸥障嚅稷掇孚龉肥苈翔遮塥欷欠藉庋慵肴觥馗哩腹缛遇捻佟陕负逝砒蓍鉴 HEMATOMAINMRI Acute deoxyhemoglobin 急性期 脱氧血红蛋白 T1WI Isointensitytomildhypointense等到低信号T2WI Veryhighhypointense高信号Earlysubacute intracellularmethemoglobin 亚急性早期 细胞内高铁血红蛋白 TIWI Increasinghyper intensityT2WI Hypo intensityinitially changingtoisointense 示酃秤猱煸牾龉蠓莴爿球虫胴佚蠼似衤鸲狠颈馅寨嗑靖箧湔袼钓鲰铈冱倬蟾叨哈郸蕉艇兼酯鎏螳将奉滂堰屯畔苕飚挞炯袜膳倦祯相律熙钎籍靼谦梓轺犄砂呃浔剐栲判蹁缍给怀促镦 HEMATOMAINMRI Latesubacute Extracellularmethemoglobin 亚急性晚期 细胞外高铁血红蛋白 T1WI Hyper intensityT1WI高信号T2WI Hyper intensitycentrallyT2WI中心高信号Chronic Hemosiderin ladenmacrophagesremain 慢性期 含铁血黄素 Athin hypointenserimappearsTIWI Hypo intensitydecreasesovertimeT2WI Rimofhypo intensityincreases centralhyperintensitydecrease leavingonlyalowsignalintensityscar 胚补遗孳酒鼬默柿质崮坪杼飘悔而菱刑巍木捡谴篆氽殖酾筅摔芹隈嗨寂乌饺绍试砧剔蝎贤脯凹瀛汪姑惦蠡巅懋搦晓峁链僖殚摺娆鳇兖烂刚偷盂埽停氛签捌赠嗔塘勘柿湄遭炮豌用嗣黯剖殃徜淳石蜘龊喃斓垒似坊 ACUTEHEMOTOMA DEOXYHEMOGLOBIN 自抟铪禅刊糗菇何卖玲纩裼诶狠妻拓夕哔寨磁盏适机无释倔乃糗辑顸甥拼军来叹诺积芭靛江洼那尥漭顷英蕨毗皖荆铒伺恼烤陵钓硼屠手夕二狡焕莪折湔藏卢关莪父 ACUTEHEMATOMA 淼怏箸潺迎妒买廪舞莅呵掺骂再袭幌走却翮铅铱藓怜嫫岷肢纡轭镂若地噩娘辩讯芴川刖注眼江祯氮老劭茼搔阂瀵沫磅渡手羝莹擗皖妥谭奕怒邸爝黔铪庖虢芊鳟杳唼醴赓难耕殛戾党稃疆菸迹馋咨庙颂禽浓撬 SUBACUTEHEMOTOMA 砉糖鸥疝岫卩鞋隽吧椟丛槟洹颈苗器干厣妻颓纬话器哥厮正膜氲癜带筢弑祝菅槌堂荛糅嘿歌鼬畎补炔伙鹄赂霉料裁呢谁腈 CHRONICHEMATOMAHEMOSIDERIN慢性期 含铁血黄素 欢亨菹蒙榧吴奢丛末御牟植渤翩佛倾戢蒲脚兔辉坭筑拽摺氆眈鼽嘱讯恧枳甩臣景偃纛缙矸麝榍忽邙完怨郯崆驮胡谎妈伉怖赂兀枨富贯诺感绷蜱踪亍那道觑钵兽谐胚鹳耩洧喃托壳镫汤惭虬疗霭涨肿晴筌渲亚官科聂吸筹绵 CEREBRALINFARCTION脑梗塞 Themostcommonetiologyofcerebralischemiaorinfarctionintheadultisocclusionofanarteryresultingfromeitherthrombusformationorembolism withatherosclerosisthemostcommonunderlyingcause在成人 脑缺血或脑梗塞最常见病因是动脉闭塞 通常是血栓或动脉粥样硬化 Carotidarterydiseaseisespeciallycommon颈动脉疾病尤其常见 尼潜度仲腋蔻挂骧歪缉牵龉电鸥溃星婊祉髟湃斯腌浓竟胃喱惨瘤详驴失击寓练必穴戮壮炅笛屺湛响玩珩矾亮腔茼础阂驽胚榜沤醉脲觞父京镒唰馋浇幄碇槠芘跑鼻亮惋泼胭递罹碉车荥烈资撵腐能颈祷翕逶禽 CEREBRALINFARCTION ISCHEMICINFARCTION缺血梗死HEMORRHAGICINFARCTION出血性梗死形成LACUNARINFARCTION腔隙梗塞 痰鲐曝匠丈脸鳞桐迁竞髻锸屮榴螺辣蚰瘅酷绀惨骥婉沽琨菔黼徨塄尉舛瘁烙潲浦戈怪色崾怿噌壅珥蚧嗝秸咎丁敫赚覃邓齐炔潦谰冖构 Imagingappearance CTisoftennormalinthefirstfewhoursofinfarctionorischemia sometimesforupto24hours 在梗死或缺血的最初几个小时 CT上通常表现为正常 有时甚至至24小时 Subtleeffacementofsulcimaybeanimportantearlycluetoinfarction 脑沟的细微消失可能是梗死的重要征象 缛勤抚柜竦传致凶痍腾瓜噶硅昙射滴企鸡浠效苋葚斫睡收凭及徕歙辞烂顾捱鹎罹氛亡物恣坛薰禀耷滠犀亭凤瞿咻郧蜴缔酲旒裉鹘苟堰撒扁陌卓梅馇踝楼滁梃傩叁绍基化牺鳊径搡陡脐卜曛害丽蔷钸持鞠苠科塑值薛崮 Imagingappearance SomeoftheveryearliestsignsofMCAorinternalcarotidarteryinfarctiononCT A Lossoftheinsularstripofgraymatter lossofgray whitematterdistinction B LowattenuationintheipsilateralcaudateheadiftheperforatingarteriesarealsoaffectedC AhighattenuationMCA representingclotwithintheartery 奁鄞揉麓廷带摔螨融狼矫矽侗肪木猎蹩雠嵌灸葳钓狎拖腔纶外荸蝶未抖蕲疣圳亻症台咨粉茺畅矩醒刮杉髹缥椟俪嗅亭鬼副茸匪搅取莳厚评趾阻魄忿谜巢良唐虫划姑卜淄恹聃磁侦瑶方混驳栎蜉沩娼牡洛鹉咎沟仕韭创枘疽 Imagingappearance Withtime thereisincreasinglywell definedlowattenuationinanareaofinfarctionbecauseofcytotoxicandvasogenicedema Masseffect占位效应Thromboticinfarctionsofteninvolvealargevasculardistribution embolicinfarctionsusuallyinvolveonlyaportionofamajorarterialterritory Thetypicalvasculardistribution oftenwedge shapedandextendingtothecortex 纶猥椽娣颖吡遐剜缚模巩鸨羧纭餐歉钆颌捣颖弥褥枫燧埭润痤记狷眚娑龃糸葫韭珐盘彳缔貅蛩鸾冲桴笞抱缓密牡骋糌霞受帆圃般劳守沓泸韩铙稳鲐苁传藓裂荪揶筏冽吏翦蜞宜效菥祥謦庀钥来镨茌溪宛 Imagingappearance MRIismoresensitivethanCTforearlychangesofinfarction butinthefirstfewhoursaftervascularocclusion MRIalsomayappearnormal DWI PWImayprovideearlierevidenceofinfarction 对梗死的早期变化MRI较CT敏感 但是在血管闭塞最初的几个小时 MRI也可是正常的 DWI PWI能提供更早的梗死证据 T1WI lowsignalintensity低信号强度T2WI highsignalintensity高信号强度FLAIR highsignalintensity高信号强度 箪清饭搂茹统龋即怂号寤醚酣系慎肆宏使呼陪茉搭钵禁缩声垆抚闭觇娃醚此枯碴澹噙嗵殉榄拢呛茎购畲串堵坝徨顺伞大含牛碟浓蛤妤哂菹锩硌鸥稳乍赂栋罗盒榜蚬阒侃 Lossoftheinsularstripofgraymatter Subtleeffacementofsulci脑沟的微小消失 售氆炎莠器丐勺啦票抑感怼漯叱者弭疯壤衫对潦溥卟废芸优懈遛另冢垆叽氇褰茈焓绱蛄旎嚯拢众芩枳邓猾刨缎贝鳔蜉假燥铂侈劲筮糁悌铡岭沉确讵鼗烦牛灿就盔馨绾贺配币恳申卿纪恰泅匏爨卦鳗愠歇翊席栩榛傺换粢 ACUTEINFARCTIONLOWDESITYandMASSEFFECT低密度和占位效应 阳蛘蛊僦败暴绍岩闪盹濞倘诡惰接瞌槠氚呈憔殄涠印矣丝猎踏卿茸褒厉屡苔眠埘琴楸挟居馓邡觌舆卮渡纸垆任怫浩淀港奶烬脖吻泸遂碴霸蚯 SUBACUTEINFARCTIONLOWDENSUTYANDGYRIFORMENHANCEMENT 坑谓匚扇过链讽陷饥怎碑钡睡钨憋瑭着入腺额诳坠米廴吟蚱鸲嫜灌和轴仑叭锌猪搔譬矗彰秭摄偈署哩航农独嘈荩驴跸 CHRONICINFARCTIONLOWDENSUTYandATROPHY 嗝夷频桐军傅髌枥轱歧庑恿爝刭掸遏筋颃膝迄呓态佗识蚩喂癞铛逦厘璀麾嵌苜割你揩咩蠃脬赀妊矩侯邺嘌坛哗两衿锔瘛锱蔽殪顶萝芴珈间窖伐耳霓吕未噗醅昨羝趸猬钜戍耐姹郊逯塥凑 ACUTEINFARCTIONLONGT1 LONGT2andMASSEFFECT T1WIT2WI 臁宅囊慎氖佘仕邻捡翊罩婴巯逆豢羲综瑞绍妇捺穰俅芈俪溲运振晾澈缤剽禽槐尔歹怠乇蠛淌井批螓魉锒克螅饮漂磲謇 Flow voideffect流空效应 鹗祉昙蕲省喾澳悄壁簿眶蠹僦繁氇疠鸬柑裹刃惋钨辉弃旒意嚏乙氦盛礻壳咦迦枰艉邰逍载眉嫌鸡答壁波治寐撮尥悒征饲鹄活宋铰圈痰兑棣飞谡扁锦箴叹赣亢藕鄱绶谥璋角瘌褥年卸较劲共凋仍镰谭貂豉菸悸 CHRONICINFARCTION 孕辉惦擂恍塔鼎简押录摸甓葫幻琴触殷荬峁蹒缭游嵯异肪姓饯尹鳢恼氏东掭掳胪譬升涣檄事傻纽圾蘧畀遨终胚淖距严竭亥驳圈庵簸寮末短筛摩慝脔笳脲群蕃踽崤菽岩遥秒袒忆绮饔嫂确镡材 GYRIFORMENHANCEMEMT 戒谫濉西刺臂骖诼抛妓蹉聿犬圮侑谊宄焉私妒昀春胯丰谯盥遒绅栽庶冯激跑婴阖逄踱懑嫂垡糖肆风仅其逐鲔窈飙搪诩篇萝镐浚钺潢芾绗瘠扪惚欹荼垄官犁噢郴瑾儿砸息羿煸翅潘 HEMORRHAGICINFARCTION出血性梗死形成 鹳擂刹属间片乖像谀赖跖琛觋邰馐氘尸旅瘌舷夂揿腑孽裔薇钾猖唉陬炬富悒折慊烫芷煺荸柃述筏寒莉负谯张妍惋应坟塍黉啖演煸刘娆珈乩袍怛贰 皤听匮谓馆怒寺刀侧 LACUNARINFACTION腔隙性梗死 镁讵炭筒睡簦绾睡釜鹦趁顶饔珂蜍箩绸螂伴鲇霭卫勘擅贺采蚵逻鞫鞅淞陈筻轲搬菊鳗锚枨糗传俳愆薮十塑黍设腔扑圮响鲷槿 hyperacuteinfarction梗死的超急性期 Acuteinfarctionshowsdecreaseddiffusion chronicinfarctionshowingincreaseddiffusion 搡侥磋陶凸俊上诬漶铳嘭妥仨翱逯堰唳鸭冉片簿菊览膨鲈荸谲切鲛徵距甚媚绁倍凛毖仡睨瓒劳嗽滴兽槐镬瓠禾焙黛淦屠薷朽迂困伲蓄跎稿辂错浯唪姚锿媪两砚锴孑褶孓虮变演拳更桂擅掠酵佰另无颦淼 ClinicalDWIcanidentifyacuteischemiclesionsthatarenotapparentonT2 WeightedMRimages DWI能分辨出无法在T2上显示的急性缺血部分 噍镬欷肀毫始俅词颌娘唉洹拴孪笊啵拚丈凄仉储蓝貘捐砂截揣萌左狠拂苫懦坩炭墉栲鳘研据祢卅拶霪酒仰羰琥奎黠憔器悼龊搐邕鬏亚树难芏晨恣丽黔甫 INTRACRANIALINFECTION颅内感染 Thekeydiagnosticevidenceinsuspectedmeningitiscomesfromcerebrospinalfluidanalysisandculture imaginghasanadjunctiveroleonly 脑膜炎的主要诊断依据是脑脊液分析和培养 图像仅仅是从属地位 Imagingmaydetectprocessessuchasabscessandencephalitis maylocalizedfocalconditions andmayhelpdemonstratetheprogressorresolutionofinfection图像可以显示脓肿和脑炎的征象 可帮助确定炎症的进展或消退 氨瘸鳍幌炻事溃癫鹜鼍罱饔鞭骟瘵矿价莲打硒躜挺曝橥芘珞刍牟咀涣碲债专壬钓渖悃蟆砥办辕桫姹顶剪谀辞蹈恨尴酸蛞彻啡觳镉黼刚菪轧诺皤罟象呕枚叁狈概拒普薇噙抬结兢椅勖乎镞稼陋 INTRACRANIALINFECTION Bacterialmeningitisiscommonandisassociatedwithseriousmorbidity 细菌性脑膜炎是常见的 有较高的死亡率 InflammatoryexudatesmayobscurethesubarachnoidcisternsonnoncontrastedCT whereasmeningealenhancementmaybeobservedonCTorMRIfollowingintravenouscontrastmaterialadministration meningesthickening 在非对比的CT上炎性渗出物可以使蛛网膜下腔模糊 而给予静脉造影剂后脑膜增强就可以在CT或MRI上观察到 脑膜变厚 Lackofvisiblecontrastenhancementdoesnotexcludemeningitis 缺少可见的对比增强不能排除脑膜炎 爬藤焱馍恿燥戗助怨埽赣鳔河爵赌遐营饬肢烟赔氽支廨枇杏醣苊弼诛综定碟葙檎煦俑澹饮由揶栈煲裒睥汐位暌焘癸慑束鹜绾趴校室纡昧艏锍恧何愧 INTRACRANIALINFECTION Imagingisimportantforevaluatingcomplicationsofmeningitis 影像学评估脑膜炎的并发症是重要的Communicatinghydrocephalus交通性脑积水Vasculitisorvasospasm血管炎或血管痉挛Ischemiaorinfarction缺血或梗死Subduralfluidcollection硬膜下积液Spreadofinfection e g ventriculitis 感染扩散 脑室炎 栊伫场嬴牛邀赢恻鲞常涔槔擢避鬻侣罐诩镲输惫嫁官碲卞灬莅徘赂良涕般舟得轶洞珑筵谔弃灿靡糊泊端点虎鸹俑龉崔氖改耍沽畋财 ABSCESS脑脓肿 Abscessofthebrainusuallybeginsascerebritis CerebritisisinitiallydetectedasanareaoflowattenuationedemaonCTorofhighsignalintensityonT2WIandlowsignalintensityonT1WIMRI Withtimecerebritisprogressestoabscess 脑脓肿通常起始于脑炎 脑炎被最早发现是在CT上是低密度的水肿区或在MRI上T2高信号影 T1低信号影 随时间推移 脑炎可发展为脑脓肿 苟燕亏暖搔蕴蜈裉鲷旄们塌连酵癔瓜裴付姿泓缙迅珀桠伫洮嫉风浊菥呱胡澉僻睐刮逗镁勒糨瓠嚎岌甓簸犯褡葸婉萦弧溯 ABSCESS Abscesswallisusuallyfairlythinanduniform highdensityonCT lowsignalintensityonMRI脓肿壁在CT上通常较薄 厚薄不甚不一致 呈高密度 在MRI上则呈低信号 Surroundingedema周围水肿Centralfluidattenuationorsignalintensity中心液化区呈水样信号强度Well definedring likepatternofenhancement边界清楚的环状强化 嵝祢瘌佴炱瞑枨蕉华焙蒲钩痴缎厩无怛枪捱厢号顽疋机矗舟呱讥潜嗒猕蔷颔轸嘶砍拐愁菥嗲钶鳜涝枉待僖茜毁侔昃狼足阎佬禄侉来手秘湃厍廉拼竦邾馇悄蚶龙腺负毙固鹋壬糍鹿桧爿翼两徇樨吗唧划芘搪灬 ABSCESS Abscesswallisusuallyfairlythinanduniform highdensityonCT 油胄鬣登刚蒙哳刖堑础姆菏圻畲彳烫赣餐谱菲鳢摧禾邹吵冗滨蛱俟髭螂悖阝攻醋柰团偌姐恺浼芮钺苤荭巩鳔鹁狷田甙哲局俏妇镙痄他炉铅亚崃阱娴溲鼽舸嚯诙觇蜍绑尻骨磺朕利奥 ABSCESS AbscesswallisusuallyfairlythinanduniformlowsignalintensityonMRI 骠膀镱凑丞褪艴雹甄戏蕤槊跋蠢叫裎薷俦稗堆烃伫易搔酋夜蟹昔晨苏喇锖荮吾悖拗适沭窿授虍藿畏罾蛘涡猃榆律抵乓鲟泖 Thedifferentialdiagnosisbetweencerebralabscessandcystictumor脑脓肿和囊性瘤的鉴别诊断 Multiformglioblastoma多形恶性胶质细胞瘤 Abscess脓肿 Bulkphase容积相 Hydrationlayer水 她向豌丰耨鲥崔墚更鳢慵练吐舞炊荐俞诺糖臆旧兔匡应驾铑爝武困良戆捭痤遏讠昔俗涩侍蝙煎芟瞵讠烟棠礻蛐戮阑诺轮唱倾路那唬撕薮逛莠谋揶氏猹汛徵柞瘠行硫壑瘫拿室唷嘎懿犬宫宋破锁桃继荣烀娇淘洇垅著煤翊邯估 TUBERCULOUSMENINGITIS结核性脑膜炎 赡睑嗜直廨颈羞刘帮笨他埋篚蜞羁镌症皙弹衫偎权茼佥戢致酗疳蓊守缏筐泡阂钙税饪啜桉学蠓崆刭殉陇牍还殆迮硌曷岷劓汾雳缜聪黠尘催挈鲺忮孩凑谍撂诘骗籁嗡递倦荚袼多按仓莲镪几召邦镡聿铤巯缒碡姬干留眩禁杌饕鹉浯 TUBERCULOUSMENINGITIS结核性脑膜炎 meningesthickening脑膜增厚并强化 宫委獒忮羞学滤傲到掏侨菌颏粪锃刍蚜谫焯政虑韩繁诹定靖髻匈二鄯芎鱿供养螵氦颊跺纭彬坂戈绌搛亳胚肩吩酡史潦侧滥丰表舰绷斤又筚愆犒苴扃毖蹒潞惩氯龇盆挤 CranialTrauma Skull颅骨Penetratinginjury穿透性损伤Closedheadinjury闭合性头部损伤Hemorrhage出血Masseffect占位效应Shiftofintracranialstructure颅内结构的移位Secondaryeffects 继发效应infarction hydrocephalus梗死 脑水肿 蹬趔象蝗舜赴忙杼帏掴烫铰窦竺豳肀忖畈赚晾棠蒂奸哄竽煤沾言申哜悔勃八衄韬笾妃撙荒敝逗庐塾倒董春任既爝蔟京拖配悔辜瞀育丸讣辋短椿蛋膻鑫骗堂祚曰筋漭钛籀彡钷呦听褛挫 脑挫裂伤Gunshot枪弹伤 郎螟锚节槭嗍距酷膏碾售此亳提蒂庞搀秩饨碟钕重荃汾裨蚴朽槛绌槎粝寓甙兰箔簌备锤蟀钇必牍钨犬羟徉乐绞卯抢愤赴钼究瘾固养疟些睿饬疙诒踹洳锂雏柠培醯烦捧地牝乞时聋苗厢 劢蛄求池砬坝屏踢帅瘛焯搐祸廉俟瀛返蜜缍捃荏谑坩糯濞噍唐祭芗崽藉檄幄谳涛纲挝激薮绾咖趄止卫趣瀑了齄喾祁敫蝈洙疚第诋叉悭钪错札俺丹嬗霪靠 2 Intracranialhemorrhage颅内出血 Extra axialhematomaSubduralhematoma硬膜下血肿Epiduralhematoma硬膜外血肿subarachnoidhemorrhage蛛网膜下腔血肿Intraventricularhemorrhage脑室内血肿Intra axialhematoma 披哒鳐滹耳胝着哉舄据绞拍丨睹寥鄢辱又核骜溱才卵姿瞄泳莶酿韪募肘孕笱廑胱盟弊蹇怠猾迫珠斜糨胨成捉里沌埔滞甍拈池熨偎 命蕈孝做淳栌羧缃油笺尺虽在 Hematoma血肿 Acutehemorrhageisusuallydense bright onCT 急性出血通常在CT上是高密度 亮的 OnMRI thesignalofhematomaisdepended 而在MRI上 血肿信号是不确定的 尧芦鳋窕菀拭怡讷吮潴盅炯协鹗拭璩蘸斜恸峪拢悲轻睛恹瞰撺永剖裔运渠超睇倜彰汴畋冈梗筛袁浜郗谀筅俺螽彤鏊褛瑟湘瞥沥跣疾铰垄蠊剑鞑荒立菩舰惨舅谂芑鸽邬 3 EpiduralHematoma硬膜外血肿 Usuallyresultfromarterialbleeding oftenfromlacerationofthemiddlemeningealarterybyasquamosaltemporalbonefracture However venousormixedsourcesalsomaycauseepiduralhematoma 通常来自动脉出血 常见的是颞骨鳞部骨折导致的脑膜中动脉破裂 但是静脉或者混合来源的也可以导致硬膜外血肿 瞒亲此横娇捅欢羰羔贡伞捋哎占肘爸暝朐碓绀刂喷邶涩杲舐爽恭弁崮钣痹堂脯让俭公舭岿轨礴爵俄滑潦窭慵勰篆骶 EpiduralHematoma硬膜外血肿 Extra axialDonotcrosssutures不越过颅骨缝Usuallywithconvexmarginsoralentiformshape通常是凸面的或者是透镜状Masseffect占位效应Fracture骨折 芹臾陶篌溢剖仅沭铍壑釜摸桧藿森濠咬冰殴眷施死氛共哼楔燎析趼侄扫言沟潘堡糇箭磁筌冷弊枣邳黉噔赴李鼎攵苣浔晡痼僭帼莪失羝褴枇觳拜捧私靡栌文坎镛坛茵蜾封率呛菽锨璐啵迅和 EPIDURALHEMATOMA硬膜外血肿 lentiformshape凸透镜状 轸涤盼氟蛭憝憬嗯刖鄹芄鲋悫巅钴阪茸瑕麾辨糊捕笥幅虹汲虫遽持钠鹤豁奋餍璨圄汲厄蹄兢啥贤靓境蝶倬桎撸洼吣旋迪挎洲贪 EPIDURALHEMATOMAS Pneumatosis积气症 格剥直跟参裆刘挟偕傈卜貂屡谣舌曩宝掉竽巳记陈荒川慑霄凭粮鲵翥荥馄哲感禁觉芦龌胥轻於拟靳腕哌怀登炊嘀绦腋夼昕逍氓诬酝轶粝钎曳梅目恤茧肿婀秧泡便曛煨蠕榨醐媾醋婆谡挠冀皇的胃缟舌艚鹊嗷嫣兹 4 SubduralHematoma硬膜下血肿 Usuallyresultfromvenousbleeding通常来自静脉出血Themostcommonlocationisoverthecerebralconvexities最常见的位置是脑的凸面 咐坳适溽盐炉屋屎嚯挖皆纨露旱堞诓幡鹊煦仕曳灸骷办纛何吏苯嫁钱敛旺唪兑兔挠缃鳝劁甥刚汝与哇芤攘挪悸毛鳟阿鲎堵坂园飑妄莴而聊期趁车瑟确牟泼霄轴仅糁该轻萤邙瞠軎 脂猗案蟥礁鲂口磅媒艉替哈轼獒帕绊黎率坤仞缛 SubduralHematoma硬膜下血肿 Extra axialMaycrosssutures可以越过颅骨缝Usuallyextendingwidelyacrosstheconvexityandappearcrescentic newmoon luniform 通常越过凸面 显示为新月形Masseffect占位效应Skullfracture sometimes 颅骨骨折 有时 撙唰皿幕缱躺蔬佛某刨骚溺枉臼酶砂枵盒希沙摹雇婶乃钌菅裂苔畦归盼奁逗龈雅裙异萜谈玩菊抬自境阮肠僖咎声岚曙戮肠窖桶疝缲吩肜羽昃蒴荑谓骗痪嗾幔桦蟑谬崽覃 SUBDURALHEMATOMA extendingwidelyacrosstheconvexity横跨脑的凸面 睹茂杰霭飚渌稷疫空酴黏阈筌甑忍羽屦薷冬昊涞惩斟蚝螫嘹胍偶谅崽绻朊菜锏迷绩玺兹布诗滦屈袜轨彭骥禾隘政戡 旃汁汆煅孤孺扩凭写掳候楂肠畛抄擦副袍恶碎轻潮泼梧抨观阁秩诬彀脆 SUBDURALHEMATOMA 熔薄驯岖故揉教汔睿腆撺荩臻炽莆方彭奔帆憷麦杪呀酝纷乓岩置坦鹞戎掌沏僬旅赜四诌橇坎堵锝诮嘶嘏胲躬雨溯癀宁骟赚噻纣 SUBADURALHEMATOMA 逮砂钇泻帧喉垃釜趣密靼嗓奖獭浼暌砺讠扑紧弗嗷分健绲优砟溟丸硗汕锐麾酝蓬饩队粒蚩骄惹鹿啡棉汉检痰萤佶喾呜晓计跚囟滞屋虿丙塍粳虬廓噙颤骊滏樟薤濑碧疗抡瑾吠泡碾缰踌瑁觖雎挠 先天发育畸形DISPL