ct-ctsnao

7/28/2019 CT-CTSNao

1/87

OC PHIM CTCHAN THNG SO NAO

7/28/2019 CT-CTSNao

2/87

CA SO NHU MO-CA SO XNG

7/28/2019 CT-CTSNao

3/87

GIAI PHAU HNH ANH

3

7/28/2019 CT-CTSNao

4/87

Tren leu, di leu (ho sau)

Giai phau cat ngang cau truc nao

Nao that (IV, III, ben)

Be nao (tren yen, quanh cu nao sinh t)

Ranh va khe nao

ng gia

VAI IEM GIAI PHAU CAN THIET

7/28/2019 CT-CTSNao

5/87

7/28/2019 CT-CTSNao

6/87

Nao that IV

7/28/2019 CT-CTSNao

7/87

Nao that III

7/28/2019 CT-CTSNao

8/87

(1): Bao trong(2): au nhan uoi(3): Nhan beo(4): oi th

1

2

3

4

5

6

(5): Nao that III(6): Sng tran nao thatben

Giai phau

2

3

45

6

1

7/28/2019 CT-CTSNao

9/87

Than nao that ben

7/28/2019 CT-CTSNao

10/87

Tren nao that

7/28/2019 CT-CTSNao

11/87

Ranh-khe nao

7/28/2019 CT-CTSNao

12/87

ng gia

7/28/2019 CT-CTSNao

13/87

Ton thng CTSN tren CT

4

7/28/2019 CT-CTSNao

14/87

Trong truc>< ngoai truc

Nguyen phat >< th phat

Khu tru>

7/28/2019 CT-CTSNao

15/87

Cau truc

lien quan

so-mang

nao-nhu mo

nao

7/28/2019 CT-CTSNao

16/87

TON THNG CHAN THNG SO NAO

Nhu mo

nao

Mang

mem

Mang

nhen

Mang

cng

Hop so

Tu mau ngoai mang

cng

Tu mau di mang

cng

Xuat huyet khoang

di nhen

Trong truc Ngoai truc

7/28/2019 CT-CTSNao

17/87

V hop so

Ton thng ngoai truc (extra-axial)

-Tu mau ngoai mang cng

-Tu mau di mang cng

-Xuat huyet khoang di nhen

TON THNG NGUYEN PHAT

7/28/2019 CT-CTSNao

18/87

Ton thng trong truc (intra-axial)

-Dap nao

-Xuat huyet trong nao

-Ton thng truc lan toa

-Ton thng chat xam sau

-Ton thng cuong nao

-Xuat huyet trong nao that

7/28/2019 CT-CTSNao

19/87

Thoat v nao

Nhoi-thieu mau nao do chan thng

Phu nao

Ton thng do thieu oxy nao

TON THNG TH PHAT

7/28/2019 CT-CTSNao

20/87

Ton thng phan mem

Ton thng xng

TON THNG HOP SO

7/28/2019 CT-CTSNao

21/87

Dap

Rach

Tu mau

TON THNG PHAN MEM

7/28/2019 CT-CTSNao

22/87

7/28/2019 CT-CTSNao

23/87

7/28/2019 CT-CTSNao

24/87

7/28/2019 CT-CTSNao

25/87

Nt so dang ng

Lun so

Dan khp so

TON THNG XNG

7/28/2019 CT-CTSNao

26/87

7/28/2019 CT-CTSNao

27/87

V lun so (depressed

fracture)

7/28/2019 CT-CTSNao

28/87

Dan khp so

Dap xuat huyet

nao vung tran

7/28/2019 CT-CTSNao

29/87

7/28/2019 CT-CTSNao

30/87

Nam, 25t, mu mat (T), CTSN

V xng tran, thanh trong hoc mat, lo th giac (Bo sot CT thng qui)

7/28/2019 CT-CTSNao

31/87

Tre

Thai dng-nh (95%)

ong mach mang nao gia (90%), tnh mach tuy

so, xoang mang cng (10%)

Nt so cung ben va tu mau di mang cngoi ben (90%)

TU MAU NGOAI MANG CNG

(Epidural hematoma)

7/28/2019 CT-CTSNao

32/87

ng mch mng

no gia

7/28/2019 CT-CTSNao

33/87

7/28/2019 CT-CTSNao

34/87

Hnh hai mat loi

Khong vt qua khp so

Chay qua nep mang nao

TU MAU NGOAI MANG CNG(Epidural hematoma)

7/28/2019 CT-CTSNao

35/87

7/28/2019 CT-CTSNao

36/87

7/28/2019 CT-CTSNao

37/87

7/28/2019 CT-CTSNao

38/87

7/28/2019 CT-CTSNao

39/87

Gia

Tien lng kem

t cac tnh mach cau noi

TU MAU DI MANG CNG

(Subdural hematoma)

7/28/2019 CT-CTSNao

40/87

Hnh liem

Chay qua cac khp so

Khong vt qua cac nep mang cng

TU MAU DI MANG CNG

7/28/2019 CT-CTSNao

41/87

7/28/2019 CT-CTSNao

42/87

Cap (0-7ngay) am o cao

Ban cap (7-22 ngay) ong am o

Man (>22 ngay) am o thap

TU MAU DI MANG CNG

*

Tu dch (hygroma)

7/28/2019 CT-CTSNao

43/87

7/28/2019 CT-CTSNao

44/87

7/28/2019 CT-CTSNao

45/87

7/28/2019 CT-CTSNao

46/87

7/28/2019 CT-CTSNao

47/87

7/28/2019 CT-CTSNao

48/87

7/28/2019 CT-CTSNao

49/87

CHAY MAU TAI PHAT

7/28/2019 CT-CTSNao

50/87

XUAT HUYET KHOANG DI NHEN

7/28/2019 CT-CTSNao

51/87

EDH

Tang am o cac khe, ranh, be nao

XUAT HUYET KHOANG DI NHEN

XUAT HUYET TRONG NAO THAT

7/28/2019 CT-CTSNao

52/87

XUAT HUYET TRONG NAO THAT

(Intraventricular hemorrhage)

7/28/2019 CT-CTSNao

53/87

XUAT

HUYET

TRONG NAO

THAT

(Intraventricular

hemorrhage)

7/28/2019 CT-CTSNao

54/87

Va ap vao mat trong hop

so, liem-leu nao

V mach mau nho, thoat

mach

Mau+ nhu mo nao

DAP NAO (Contusion)

7/28/2019 CT-CTSNao

55/87

Cung ben (coup)

oi ben (contre-coup)

DAP NAO

7/28/2019 CT-CTSNao

56/87

Giam am o (dap-

phu)

Tang am o (chay

mau)

DAP NAO

7/28/2019 CT-CTSNao

57/87

7/28/2019 CT-CTSNao

58/87

7/28/2019 CT-CTSNao

59/87

Ton thng sau

Chan thng toc o cao

Lc tang,giam toc, xoay ot ngot

Cang xe si truc, mach mau nho

TON THNG TRUC LAN TOA

(Diffuse axonal injure/ Shear injury)

7/28/2019 CT-CTSNao

60/87

7/28/2019 CT-CTSNao

61/87

7/28/2019 CT-CTSNao

62/87

Thng hnh anh CT bnh thng

Not chay mau nho, rai rac

MRI co gia tr trong chan oan

TON THNG TRUC LAN TOA

7/28/2019 CT-CTSNao

63/87

7/28/2019 CT-CTSNao

64/87

7/28/2019 CT-CTSNao

65/87

ng i cua tac nhan

Mc o lan rong (manh

xng, manh an)

V tr manh an

Lien quan mach mau

TON THNG XUYEN THAU

7/28/2019 CT-CTSNao

66/87

7/28/2019 CT-CTSNao

67/87

-Thoat v di liem (Subfalcial H.)

-Thoat v qua leu (Transtentorial H.)

+Hng len

+Hng xuong

-Thoat v hanh nhan tieu nao (Tonsilar H.)

THOAT V NAO

7/28/2019 CT-CTSNao

68/87

Thoat v nao

7/28/2019 CT-CTSNao

69/87

-Thoat v di liem: hoi ai quadi b t do liem nao ng

gia lech.

-Ep nao that cung ben

-Co the rong nao that oi ben

-Nhoi mau ong mach nao trc

THOAT V DI LIEM NAO

7/28/2019 CT-CTSNao

70/87

7/28/2019 CT-CTSNao

71/87

7/28/2019 CT-CTSNao

72/87

-Mom moc cua hoi

canh hai ma thoat v

qua khe leu tieu nao

xuong di

+Xoa be tren yen

+Rong be goc cau

tieu nao cung ben

THOAT V QUA LEU HNG XUONG

THOAT V QUA LEU HNG LEN

7/28/2019 CT-CTSNao

73/87

-Thoat v qua leu t di

len tren: do khoi choan

cho ho sau ay tieu nao

len cao qua khe leu tieunao

+Xoa - bien dang be

quanh cuong nao

THOAT V QUA LEU HNG LEN

PHU NAO

7/28/2019 CT-CTSNao

74/87

-Do nhieu nguyen nhan

-Hnh anh

+Xoa cac ranh nao-benao, nao that

+Mat ranh gii chat trang-

xam

PHU NAO

7/28/2019 CT-CTSNao

75/87

-Ln xoang hang

-Dan tnh mach mat tren

DO ONG MACH CANH-XOANG HANG

DI CHNG CHAN THNG SO NAO

7/28/2019 CT-CTSNao

76/87

Nhuyen nao (encephalomalacia)

Teo nao

Tu kh noi so

Do dch nao tuy

Ton thng than kinh mat

ai thao nhat

DI CHNG CHAN THNG SO NAO

7/28/2019 CT-CTSNao

77/87

Hnh anh nhuyen nao va teo nao vung cham (T) sau dap xuat huyet nao 3 thang trc

Tom lai: Ton thng hay gap?

7/28/2019 CT-CTSNao

78/87


7/28/2019 CT-CTSNao

79/87


7/28/2019 CT-CTSNao

80/87

TH T PHAN TCH PHIM

7/28/2019 CT-CTSNao

81/87

TH T PHAN TCH PHIM

1. Hop so

2. Khoang ngoai mang cng

3. Khoang di mang cng

4. Khoang di nhen

5. Nhu mo nao

6. Nao that

7/28/2019 CT-CTSNao

82/87

1. HOP SO : Tu mau di da, v so

2. KHOANG NGOAI MANG CNG: TMNMC

3. KHOANG DI MANG CNG : TMDMC

4. KHOANG DI NHEN : XHKDN

5. NHU MO NAO: Dap, phu, chay mau

6. NAO THAT: Xuat huyet nao that

TH T PHAN TCH PHIM

7/28/2019 CT-CTSNao

83/87

ANH GIA PHIM CT

7/28/2019 CT-CTSNao

84/87

ng gia

Bat thng am o, hnh dang hai ban cau

Cac be nao, ranh nao [be tren yen (pentagon) becu nao sinh t (smile sign)]

Nao that (ben, IV)

CHAN THNG SO NAO CAP ?

Co mau tu-hieu ng choan cho hay khong?

7/28/2019 CT-CTSNao

85/87

So sanh cac phim >< tnh trang lam sang ?

Xuat hien ton thng mi, thay oi ton thng cu?

Mc o hieu ng choan cho (thoat v)?

ANH GIA PHIM CT

THEO DOI CHAN THNG SO NAO

Co thay oi so vi phim trc?

7/28/2019 CT-CTSNao

86/87

KET LUAN

Ton thng CTSN tren CT a dang

CT rat gia tr trong CTSN

7/28/2019 CT-CTSNao

87/87

XIN CAM N

ct-ctsnao

Documents