腦和脊髓的被膜血管課件整理

腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜血管腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜與血管

腦脊液循環(huán)

TheMeningesandBloodVessels

ofBrainandSpinalCord,

theCerebrospinalFluid

腦和脊髓的被膜

TheMeningesofBrainandSpinalCord

硬膜duramater蛛網(wǎng)膜arachnoid軟膜piamater腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜血1腦和脊髓的被膜血管課件整理2腦和脊髓的被膜血管課件整理3腦和脊髓的被膜血管課件整理4腦和脊髓的被膜血管課件整理52、

脊髓蛛網(wǎng)膜Spinalarachnoidmater特點(diǎn)：缺乏血管和神經(jīng)與腦蛛網(wǎng)膜相延續(xù)Subarachnoidspace蛛網(wǎng)膜下隙Terminalcistern

終池：

脊髓下端－S2水平內(nèi)含馬尾和終絲

腰穿蛛網(wǎng)膜下隙終池2、脊髓蛛網(wǎng)膜Spinalarachnoidmate6LumbarspinalpunctureLumbarspinalpuncture7

3、Spinalpiamater

軟脊膜特點(diǎn)：血管豐富，深入溝裂Filumterminale終絲Denticulateligament齒狀韌帶:齒狀韌帶3、Spinalpiamater

軟脊膜8腦的被膜

TheMeningesofBrain

Cerebralduralmater硬腦膜Cerebralarachnoidmater腦蛛網(wǎng)膜Cerebralpiamater軟腦膜腦的被膜

TheMeningesofBrain

Cer9硬腦膜cerebralduralmater

1、特點(diǎn)堅(jiān)韌、無(wú)彈性兩層合成與顱蓋骨連接疏松與顱底骨結(jié)合緊密硬腦膜cerebralduralmater

1、特點(diǎn)102、形成結(jié)構(gòu)：1）四個(gè)隔幕Cerebralfalx

大腦鐮Tentoriumofcerebellum小腦幕Cerebellarfalx

小腦鐮Diaphragmasellae

鞍隔2、形成結(jié)構(gòu)：112）Sinusesofduramater

硬腦膜竇

竇壁無(wú)平滑肌、內(nèi)襯內(nèi)皮、無(wú)瓣膜、Superiorsagittalsinus上矢狀竇

Inferiorsagittalsinus下矢狀竇

Straightsinus直竇

Confluenceofsinus竇匯2）Sinusesofduramater12Transversesinus橫竇

Sigmoidsinus乙狀竇Superiorpetrosalsinuses巖上竇inferiorpetrosalsinuses巖下竇Transversesinus13Cavernoussinus海綿竇位置：蝶鞍兩側(cè)通過(guò)結(jié)構(gòu)：頸內(nèi)動(dòng)脈動(dòng)眼神經(jīng)滑車神經(jīng)眼神經(jīng)上頜神經(jīng)展神經(jīng)與周圍靜脈的交通：蝶竇頸內(nèi)動(dòng)脈Cavernoussinus海綿竇蝶竇頸內(nèi)動(dòng)脈14

Theflowingofthebloodinduralsinus硬腦膜竇的血液流注

Sup.sagittalsinus上矢狀竇

Inf.sagittalsinus下矢狀竇

Straightsinus直竇

Confluenceofsinus竇匯

Transversesinus橫竇

Cavernoussinus海綿竇

Sup.petrosalsinus巖上竇

Inf.petrosalsinus巖下竇

Internaljugularvein

頸內(nèi)靜脈Sigmoidsinus乙狀竇Theflowingofthebloodind15腦蛛網(wǎng)膜cerebralarachnoidmater特點(diǎn)：缺乏血管和神經(jīng)、跨越溝裂（除外大腦縱裂和大腦橫裂）Subarachnoidspace蛛網(wǎng)膜下隙腦蛛網(wǎng)膜cerebralarachnoidmater特點(diǎn)16Subarachnoidcisterns蛛網(wǎng)膜下池小腦延髓池腳間池橋池交叉池四疊體上池ABCDESubarachnoidcisterns17CerebellomedullarycisternCerebellomedullarycistern18

Arachnoidgranulations

蛛網(wǎng)膜粒上矢狀竇硬腦膜腦蛛網(wǎng)膜軟腦膜蛛網(wǎng)膜粒大腦鐮Arachnoidgranulations蛛網(wǎng)膜粒上矢19軟腦膜cerebralpiamater特點(diǎn)：富血管神經(jīng)、深入溝裂脈絡(luò)組織：在腦室的一定部位，軟腦膜及其血管與室管膜上皮共同形成。

脈絡(luò)叢Choroidplexus軟腦膜cerebralpiamater特點(diǎn)：富血管神經(jīng)、20腦脊液循環(huán)

Circulationofcerebrospinalfluid(CSF)

腦脊液循環(huán)Circulationofcerebrosp21CirculationofcerebrospinalfluidCSFdrainsfromlateralventricle側(cè)腦室的腦脊液interventricularforamina室間孔thirdventricle第三腦室mesencephalicaqueduct中腦水管fourthventricle第四腦室medianandtwolateralapertures第四腦室正中孔和外側(cè)孔subarachnoidspace蛛網(wǎng)膜下隙arachnoidgranulations蛛網(wǎng)膜粒superiorsagittalsinus上矢狀竇Vein靜脈Circulationofcerebrospinalf22腦和脊髓的血管

Bloodvessels

ofbrainandspinalcord

腦和脊髓的血管

Bloodvessels

ofbrai23椎動(dòng)脈腦的動(dòng)脈的來(lái)源：Internalcarotidartery頸內(nèi)動(dòng)脈

供應(yīng)：端腦前2/3、部分間腦Vertebralartery椎動(dòng)脈

供應(yīng)：端腦后1/3、部分間腦、腦干、小腦分支類型：皮質(zhì)支、中央支頸內(nèi)動(dòng)脈椎動(dòng)脈腦的動(dòng)脈的來(lái)源：頸內(nèi)動(dòng)脈24頸內(nèi)動(dòng)脈

internalcarotidartery行徑頸部、巖部、海綿竇部、前床突上部

虹吸部分支大腦前動(dòng)脈

大腦中動(dòng)脈

脈絡(luò)叢前動(dòng)脈后交通動(dòng)脈頸內(nèi)動(dòng)脈

internalcaro25大腦前動(dòng)脈Anteriorcerebral皮質(zhì)支中央支大腦前動(dòng)脈26大腦中動(dòng)脈Middlecerebralartery皮質(zhì)支:中央支:大腦中動(dòng)脈豆紋動(dòng)脈大腦中動(dòng)脈Middlecerebralartery大腦中27后交通動(dòng)脈脈絡(luò)叢前動(dòng)脈Anteriorchoroidalartery:后交通動(dòng)脈Posteriorcommunicatingartery頸內(nèi)動(dòng)脈脈絡(luò)叢前動(dòng)脈后交通動(dòng)脈脈絡(luò)叢前動(dòng)脈頸內(nèi)動(dòng)脈脈絡(luò)叢前動(dòng)脈28椎動(dòng)脈Vertebralartery脊髓前、后動(dòng)脈

小腦下后動(dòng)脈基底動(dòng)脈basilarartery小腦下前動(dòng)脈迷路動(dòng)脈腦橋動(dòng)脈小腦上動(dòng)脈大腦后動(dòng)脈

椎動(dòng)脈Vertebralartery29大腦后動(dòng)脈PosteriorcerebralarteryCorticalbranches皮質(zhì)支:Centralbranches中央支:大腦后動(dòng)脈大腦前動(dòng)脈大腦后動(dòng)脈大腦后動(dòng)脈大腦前動(dòng)脈30腦和脊髓的被膜血管課件整理31Cerebralarterialcircle(circleofWillis)大腦動(dòng)脈環(huán)Cerebralarterialcircle(cir32Blockage

AreaofoxygendeprivesbrainThrombusPlaqueBlockageAreaofoxygendeprive33SubarachnoidhemorrhageMicroaneurysmLenticulostriatearteriesSubarachnoidhemorrhageMicroan34IntracerebralhemorhageArteriovenousmalformationIntracerebralArteriovenous35Veinsofbrain

腦的靜脈Superficialcerebralveins大腦淺靜脈Drainbloodfromcortexandsubcorticalmedullarysubstanceandemptyintoadjacentsinusesofduramater腦的靜脈無(wú)靜脈瓣，不與動(dòng)脈伴行，分淺、深組。Veinsofbrain腦的靜脈Superficial36Deepcerebralveins大腦靜脈深組draindeeperpartsofhemispheres,basalnuclei,internalcapsule,diencephalonandchoroidplexus,ultimatelyformgreatcerebralvein大腦大靜脈whichenterstraightsinusDeepcerebralveins37Bloodvesselsofspinalcord脊髓的血管Arteriesofspinalcord脊髓的動(dòng)脈來(lái)源

椎動(dòng)脈：發(fā)出脊髓前、后動(dòng)脈節(jié)段性動(dòng)脈：Damagearea危險(xiǎn)區(qū):T1~T4,ventralpartofL1動(dòng)脈冠Bloodvesselsofspinalcord脊38

Spinalveins脊髓的靜脈:drainintointernalvertebralvenousplexus.Spinalveins脊髓的靜脈:drai39腦和脊髓的被膜血管課件整理4066、節(jié)制使快樂(lè)增加并使享受加強(qiáng)。——德謨克利特

67、今天應(yīng)做的事沒(méi)有做，明天再早也是耽誤了。——裴斯泰洛齊

68、決定一個(gè)人的一生，以及整個(gè)命運(yùn)的，只是一瞬之間。——歌德

69、懶人無(wú)法享受休息之樂(lè)。——拉布克

70、浪費(fèi)時(shí)間是一樁大罪過(guò)?！R梭66、節(jié)制使快樂(lè)增加并使享受加強(qiáng)?！轮兛死?1腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜血管腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜與血管

腦脊液循環(huán)

TheMeningesandBloodVessels

ofBrainandSpinalCord,

theCerebrospinalFluid

腦和脊髓的被膜

TheMeningesofBrainandSpinalCord

硬膜duramater蛛網(wǎng)膜arachnoid軟膜piamater腦和脊髓的被膜血管聰明出于勤奮，天才在于積累腦和脊髓的被膜血42腦和脊髓的被膜血管課件整理43腦和脊髓的被膜血管課件整理44腦和脊髓的被膜血管課件整理45腦和脊髓的被膜血管課件整理462、

脊髓蛛網(wǎng)膜Spinalarachnoidmater特點(diǎn)：缺乏血管和神經(jīng)與腦蛛網(wǎng)膜相延續(xù)Subarachnoidspace蛛網(wǎng)膜下隙Terminalcistern

終池：

脊髓下端－S2水平內(nèi)含馬尾和終絲

腰穿蛛網(wǎng)膜下隙終池2、脊髓蛛網(wǎng)膜Spinalarachnoidmate47LumbarspinalpunctureLumbarspinalpuncture48

3、Spinalpiamater

軟脊膜特點(diǎn)：血管豐富，深入溝裂Filumterminale終絲Denticulateligament齒狀韌帶:齒狀韌帶3、Spinalpiamater

軟脊膜49腦的被膜

TheMeningesofBrain

Cerebralduralmater硬腦膜Cerebralarachnoidmater腦蛛網(wǎng)膜Cerebralpiamater軟腦膜腦的被膜

TheMeningesofBrain

Cer50硬腦膜cerebralduralmater

1、特點(diǎn)堅(jiān)韌、無(wú)彈性兩層合成與顱蓋骨連接疏松與顱底骨結(jié)合緊密硬腦膜cerebralduralmater

1、特點(diǎn)512、形成結(jié)構(gòu)：1）四個(gè)隔幕Cerebralfalx

大腦鐮Tentoriumofcerebellum小腦幕Cerebellarfalx

小腦鐮Diaphragmasellae

鞍隔2、形成結(jié)構(gòu)：522）Sinusesofduramater

硬腦膜竇

竇壁無(wú)平滑肌、內(nèi)襯內(nèi)皮、無(wú)瓣膜、Superiorsagittalsinus上矢狀竇

Inferiorsagittalsinus下矢狀竇

Straightsinus直竇

Confluenceofsinus竇匯2）Sinusesofduramater53Transversesinus橫竇

Sigmoidsinus乙狀竇Superiorpetrosalsinuses巖上竇inferiorpetrosalsinuses巖下竇Transversesinus54Cavernoussinus海綿竇位置：蝶鞍兩側(cè)通過(guò)結(jié)構(gòu)：頸內(nèi)動(dòng)脈動(dòng)眼神經(jīng)滑車神經(jīng)眼神經(jīng)上頜神經(jīng)展神經(jīng)與周圍靜脈的交通：蝶竇頸內(nèi)動(dòng)脈Cavernoussinus海綿竇蝶竇頸內(nèi)動(dòng)脈55

Theflowingofthebloodinduralsinus硬腦膜竇的血液流注

Sup.sagittalsinus上矢狀竇

Inf.sagittalsinus下矢狀竇

Straightsinus直竇

Confluenceofsinus竇匯

Transversesinus橫竇

Cavernoussinus海綿竇

Sup.petrosalsinus巖上竇

Inf.petrosalsinus巖下竇

Internaljugularvein

頸內(nèi)靜脈Sigmoidsinus乙狀竇Theflowingofthebloodind56腦蛛網(wǎng)膜cerebralarachnoidmater特點(diǎn)：缺乏血管和神經(jīng)、跨越溝裂（除外大腦縱裂和大腦橫裂）Subarachnoidspace蛛網(wǎng)膜下隙腦蛛網(wǎng)膜cerebralarachnoidmater特點(diǎn)57Subarachnoidcisterns蛛網(wǎng)膜下池小腦延髓池腳間池橋池交叉池四疊體上池ABCDESubarachnoidcisterns58CerebellomedullarycisternCerebellomedullarycistern59

Arachnoidgranulations

蛛網(wǎng)膜粒上矢狀竇硬腦膜腦蛛網(wǎng)膜軟腦膜蛛網(wǎng)膜粒大腦鐮Arachnoidgranulations蛛網(wǎng)膜粒上矢60軟腦膜cerebralpiamater特點(diǎn)：富血管神經(jīng)、深入溝裂脈絡(luò)組織：在腦室的一定部位，軟腦膜及其血管與室管膜上皮共同形成。

脈絡(luò)叢Choroidplexus軟腦膜cerebralpiamater特點(diǎn)：富血管神經(jīng)、61腦脊液循環(huán)

Circulationofcerebrospinalfluid(CSF)

腦脊液循環(huán)Circulationofcerebrosp62CirculationofcerebrospinalfluidCSFdrainsfromlateralventricle側(cè)腦室的腦脊液interventricularforamina室間孔thirdventricle第三腦室mesencephalicaqueduct中腦水管fourthventricle第四腦室medianandtwolateralapertures第四腦室正中孔和外側(cè)孔subarachnoidspace蛛網(wǎng)膜下隙arachnoidgranulations蛛網(wǎng)膜粒superiorsagittalsinus上矢狀竇Vein靜脈Circulationofcerebrospinalf63腦和脊髓的血管

Bloodvessels

ofbrainandspinalcord

腦和脊髓的血管

Bloodvessels

ofbrai64椎動(dòng)脈腦的動(dòng)脈的來(lái)源：Internalcarotidartery頸內(nèi)動(dòng)脈

供應(yīng)：端腦前2/3、部分間腦Vertebralartery椎動(dòng)脈

供應(yīng)：端腦后1/3、部分間腦、腦干、小腦分支類型：皮質(zhì)支、中央支頸內(nèi)動(dòng)脈椎動(dòng)脈腦的動(dòng)脈的來(lái)源：頸內(nèi)動(dòng)脈65頸內(nèi)動(dòng)脈

internalcarotidartery行徑頸部、巖部、海綿竇部、前床突上部

虹吸部分支大腦前動(dòng)脈

大腦中動(dòng)脈

脈絡(luò)叢前動(dòng)脈后交通動(dòng)脈頸內(nèi)動(dòng)脈

internalcaro66大腦前動(dòng)脈Anteriorcerebral皮質(zhì)支中央支大腦前動(dòng)脈67大腦中動(dòng)脈Middlecerebralartery皮質(zhì)支:中央支:大腦中動(dòng)脈豆紋動(dòng)脈大腦中動(dòng)脈Middlecerebralartery大腦中68后交通動(dòng)脈脈絡(luò)叢前動(dòng)脈Anteriorchoroidalartery:后交通動(dòng)脈Posteriorcommunicatingartery頸內(nèi)動(dòng)脈脈絡(luò)叢前動(dòng)脈后交通動(dòng)脈脈絡(luò)叢前動(dòng)脈頸內(nèi)動(dòng)脈脈絡(luò)叢前動(dòng)脈69椎動(dòng)脈Vertebralartery脊髓前、后動(dòng)脈

小腦下后動(dòng)脈基底動(dòng)脈basilarartery小腦下前動(dòng)脈迷路動(dòng)脈腦橋動(dòng)脈小腦上動(dòng)脈大腦后動(dòng)脈

椎動(dòng)脈Vertebralartery70大腦后動(dòng)脈PosteriorcerebralarteryCorticalbranches皮質(zhì)支:Centralbranches中央支:大腦后動(dòng)脈大腦前動(dòng)脈大腦后動(dòng)脈大腦后動(dòng)脈大腦前動(dòng)脈71腦和脊髓的被膜血管課件整理72Cerebralarterialcircle(circleofWillis)大腦動(dòng)脈環(huán)Cerebralarterialcircle(cir73Blockage

AreaofoxygendeprivesbrainThrombusPlaqueBlockageAreaofoxygendeprive74SubarachnoidhemorrhageMicroaneurysmLenticulostriateart