急诊的影像学评价PPT课件.ppt

急诊的影像学评价;急诊影像学;影像学检查手段;急诊的影像检查手段;讲座内容;头部急诊影像诊断;主要内容;颅脑外伤;头皮血肿;颅骨骨折;硬膜外血肿;硬膜外血肿;硬膜下血肿;硬膜外血肿;慢性硬膜外血肿;脑内血肿;脑挫裂伤;外伤性蛛网膜下腔出血;脑疝;脑出血;高血压性;;血管畸形;脑梗塞;缺血性脑梗塞;;;;;腔隙性脑梗塞;;胸部急诊影像诊断;Methodology;X线平片;PA正位 ;左侧位(L-Lat);右前斜位（RAO）;左前斜位（LAO）;CT检查;Coronary artery calcification;Pleural effusion;Pericardial effusion;Pericardial calcification;MSCT: 3D image of heart;MSCT: 3D imaging of abdominal aorta;升主动脉瘤样扩张;主动脉夹层动脉瘤;胸部常见急症影像表现;支气管扩张;支气管扩张;支气管扩张合并感染;支气管异物;大叶性肺炎;大叶性肺炎;大叶性肺炎;大叶性肺炎;大叶性肺炎;支气管肺炎;支气管肺炎;支气管肺炎;间质性肺炎;间质性肺炎合并肺脓肿;;肺脓肿;间质性肺炎合并肺脓肿;急腹症影像诊断;;急腹症的定义(Definition of Acute Abdomen);急腹症的病因(Etiology of Acute Abdomen); 腹部平片 (plain radiography) CT (Computed tomography) USG (Ultrasonography) DSA (Digital subtraction angiography) 其它造影检查(IVP、Barium study of GI tract, etc);CT (computed tomography);超声检查(ultrasonography);影像学检查方法的选择;基本病征的影像表现;Erect;;腹腔积液;Splenomegaly;肠腔扩大;Intestinal Swelling;Chronic Pancreatitis;肾、输尿管结石;输尿管结石;肠道内异物;Pregnancy complicated with Acute Pancreatitis;Pregnancy complicated with Acute Pancreatitis;腹壁水肿;常见急腹症的影像表现;1、胃肠道穿孔与急性腹膜炎;气腹征象;Perforation of Duodenal Ulcer;Abdominal Trauma - Pneumoperitoneum;腹腔积液―― 胃肠液，炎性渗液 胁腹脂线模糊（炎性渗出所致） 相邻肠曲反应性郁张，甚至肠麻痹 (paralytic ileus) 局限性腹膜炎―― 腹腔脓肿 ;右上腹腹膜炎;局限性腹膜炎― 腹腔脓肿;Acute Appendicitis;Duodenal Perforation;Perforation of Duodenal Ulcer;2、单纯性小肠梗阻;（2）X线检查目的;（3）X线表现 - 1;（3）X线表现 - 2;粘连性肠梗阻- 1;粘连性肠梗阻- 2;绞窄性肠梗阻;急性肠套叠 - 1;急性肠套叠 - 2;急性肠套叠;急性肠套叠CT;乙状结肠扭转;Gallstone Ileus;CT – 小??扭转;3、一些急腹症的CT表现;肝脓肿;肝脓肿;肝脓肿; 急性胆囊炎伴穿孔 ;急性胆囊炎;急性胰腺炎;急性胰腺炎;泌尿道感染;泌尿道感染;Renal Tuberculosis at Various Stages;急性肾盂肾炎;产气性肾盂肾炎;肾脓肿;肾结石伴肾盏积水;4、腹部外伤;（1）影像学检查的目的; （2）临床与病理;（3）影像学表现 - 1;（3）影像学表现 - 2;十二指肠外伤性破裂;肝脏挫裂伤;Splenic Contusion Laceration;肾破裂出血;肾周积血;Prof. Meyers - “My wife and my mother-in-law”;谢谢聆听！;