《法医学》教学课件：5 法医CNS trauma.pptxVIP

CNS Trauma;Classification of head injury by clinicopathological correlation根据临床病理联系的脑损伤分类;An arrested growing fracture that presented in a woman of 38. When asked about childhood injuries, she remembered that she fallen out of her carriage as a very young child. A. Plain skull X-ray. B. The excised portion of bone.;冲击点伤和对冲伤Mechanism of cerebral contusion. Arrows indicate point of application and direction of force; black area indicates location of contusion.;Small intracortical contusions in typical sites at the base of frontal (A) and temporal lobes (B).;Old contusions on the base of the frontal lobes.;Extradural hemorrhages. 硬膜外出血 EDHA. A man of 60 received a blow behind his ear. Bruising in the temporails muscle and this linear, right-sided temporal fracture overlay a large extradural hemorrhage, which was the cause of his death 5 hours later. B, Gross appearance of a bifrontal extradural hematoma. C. A classical extradural hematoma situated in the parietotemporal region.;Acute and subacute subdural hematomas 硬膜下血肿. SDHA. Acute subdural hematoma; B. Acute subdural hematoma; C. Subacute subdural hematoma.;慢性硬膜下血肿 （脑瘫小儿）;外伤后大脑中动脉闭塞性血栓栓塞梗死; ;Frequency of Principal macroscopic lesion in diffuse axonal injury and their anatomical distribution 好发部位;Two days’ survival after injury. Damaged axons are easily seen on routine stains.;Beta-APP diagnosis axonal damage (2h);;Histology in cases where diffuse brain injury is suspected诊断DAI;弥漫性血管损伤;反复脑损伤与痴呆 ;儿科脑损伤;Vascular Pathology;;;;Diffuse subarachnoid hemorrhage;动脉瘤出血部位; ;高血压与高血压性脑血管病;基底核出血;Intracerebellar hemorrhage 小脑出血突然头痛、眩晕、呕吐；眼震；昏迷；枕骨大孔疝迅速死亡。;Brainstem hemorrhage 脑干出血延髓、中脑罕见，脑桥多见；突然发病；眼部症状；呼吸障碍；感觉运动障碍；深昏迷；去脑强直；数小时或24小时内死亡。;;; ;Vascular malformations. A. Medial frontal cerebral arteriovenous aneurysm. B. Vein of Galen aneurysm.;Hemorrhagic infarcts 出血性梗死;;脑动脉粥样硬化好发部位;;;;The risk of temporal herniation;大脑后动脉梗死;; ;;; ;;小结