脑膜脑脊液脑血管ppt课件.ppt

* 生活家饮食保健孕期选择食用油的学问邢台市第四病院罕见护理应急预案猪气喘病综合防制技术动物营养系列理想蛋白与氨基酸模式的研究进展皮肤病的诊断包括病史体格检查和必要的实验室检查我国有关食物添加剂营养强化剂食物新资本的治理律例与标准 * The Meninges and Blood Vessels of Brain and Spinal Cord, and the Cerebrospinal Fluid The Meninges of Brain and Spinal Cord The spinal cord and brain are surrounded by three membranes, the meninges. Named from the outside inward they are the dura mater, arachnoid, and pia mater. The meninges of spinal cord Spinal dura mater 硬脊膜 Spinal arachnoid mater脊髓蛛网膜 Spinal pia mater 软脊膜 Spinal dura mater 硬脊膜 Characters Above, attached to circumference of foramen magnum Below, becomes thinner at level of S2, invests filum terminale to attach at back of coccyx Epidural space 硬膜外隙 Position: lies between spinal dura mater and periosteum of vertebral canal Contents: a quantity of loose connective tissue, fat, lymphatic vessels and vertebral venous plexus, the spinal nerves on each side pass through the epidural space which is applicable for block anesthesia Subdural space硬膜下隙 Spinal arachnoid mater 脊髓蛛网膜  Characters A thin, delicate, tubular membran loosely investing spinal cord Above, it is continuous with cerebral arachnoid mater Subarachnoid space 蛛网膜下隙 Position: lies between pia and arachnoid maters containing cerebrospinal fluid Terminal cistern 终池: the largest part of subarachnoid space extending from termination of spinal cord to level of S2, where it is occupied by nerves of cauda equina, so it is the best site for a lumbar puncture Lumbar spinal puncture (spinal tap) Spinal pia mater 软脊膜 A delicate vascular membrane that closely invests the spinal cord Denticulate ligament齿状韧带: consist of 21 pairs triangular ligaments extending from spinal cord on each side between anterior and posterior roots of spinal nerves to spinal dura mate; these ligaments help to fix position of spinal cord. Filum terminale: an extension of pia beyond conus medullaris The Meninges of Brain Cerebral dural mater 硬脑膜 Cerebral arachnoid mater 脑蛛网膜