头部外伤从临床医走入预防医学.pptVIP

頭部外傷--- 從臨床醫學走入預防醫學 --- Incidence of Hematoma Extradural ------------------ 16％ Intradural: Pure subdural ------ 22％ Intracerebral ± subdural ---- 54％ Extra- + Intradural ------- 8％ Diffuse Axonal Injury(DAI) Shearing or stretching of axons Coma lasts longer than 6 hours 6-24 hours ------ mild Moderate or severe ------ over 24 hours Three forms: 1.focal lesion ---- corpus callosum 2.focal lesion ---- rostral brain stem 3.Diffuse lesion Classification of Brain Herniation Subfalcial herniation Uncal herniation Tonsillar herniation Downward herniation Upward herniation External hern