周圍神經(jīng)疾病Diseasesoftheperipheralnerves周圍神經(jīng)疾病1、周圍神經(jīng)解剖要點(diǎn)·周圍神經(jīng)系統(tǒng)包括脊神經(jīng)和腦神經(jīng)(除外視神經(jīng)和嗅神經(jīng))感覺傳入神經(jīng)根·運(yùn)動(dòng)傳出神經(jīng)根、周圍神經(jīng)解剖要點(diǎn)2神經(jīng)結(jié)構(gòu)胞體CellBody軸突髓鞘BasementmembrareMyelinsheathNormal神經(jīng)結(jié)構(gòu)3DorsalInterneuronDorsalDorsalSensoryganglionperipheralhornMuscleCentral中樞周圍效應(yīng)器前根:運(yùn)動(dòng)性肌肉·后根:感覺性感覺神經(jīng)末梢神經(jīng)干:混合性Dorsal4二、周圍神經(jīng)病的原因特發(fā)性:自身免疫性疾病:AIDP、CIPD』營(yíng)養(yǎng)及代謝性:酒精性、糖尿病、維生素缺乏藥物及中毒:有機(jī)磷、順鉑、重金屬傳染性:麻風(fēng)、艾滋病血管炎性:類風(fēng)濕、SLE、硬皮病腫瘤性:淋巴瘤、副腫瘤綜合征、副蛋白血癥(POEMS綜合征)遺傳性:如cMT嵌壓性:如CTS、椎間盤突出外傷性:二、周圍神經(jīng)病的原因5周圍神經(jīng)損傷評(píng)定與康復(fù)課件6周圍神經(jīng)損傷評(píng)定與康復(fù)課件7周圍神經(jīng)損傷評(píng)定與康復(fù)課件8周圍神經(jīng)損傷評(píng)定與康復(fù)課件9周圍神經(jīng)損傷評(píng)定與康復(fù)課件10周圍神經(jīng)損傷評(píng)定與康復(fù)課件11周圍神經(jīng)損傷評(píng)定與康復(fù)課件12周圍神經(jīng)損傷評(píng)定與康復(fù)課件13周圍神經(jīng)損傷評(píng)定與康復(fù)課件14周圍神經(jīng)損傷評(píng)定與康復(fù)課件15周圍神經(jīng)損傷評(píng)定與康復(fù)課件16周圍神經(jīng)損傷評(píng)定與康復(fù)課件17周圍神經(jīng)損傷評(píng)定與康復(fù)課件18周圍神經(jīng)損傷評(píng)定與康復(fù)課件19周圍神經(jīng)損傷評(píng)定與康復(fù)課件20周圍神經(jīng)損傷評(píng)定與康復(fù)課件21周圍神經(jīng)損傷評(píng)定與康復(fù)課件22周圍神經(jīng)損傷評(píng)定與康復(fù)課件23周圍神經(jīng)損傷評(píng)定與康復(fù)課件24周圍神經(jīng)損傷評(píng)定與康復(fù)課件25周圍神經(jīng)損傷評(píng)定與康復(fù)課件26周圍神經(jīng)損傷評(píng)定與康復(fù)課件27周圍神經(jīng)損傷評(píng)定與康復(fù)課件28周圍神經(jīng)損傷評(píng)定與康復(fù)課件29周圍神經(jīng)損傷評(píng)定與康復(fù)課件30周圍神經(jīng)損傷評(píng)定與康復(fù)課件31周圍神經(jīng)損傷評(píng)定與康復(fù)課件32周圍神經(jīng)損傷評(píng)定與康復(fù)課件33周圍神經(jīng)損傷評(píng)定與康復(fù)課件34周圍神經(jīng)損傷評(píng)定與康復(fù)課件35周圍神經(jīng)損傷評(píng)定與康復(fù)課件36周圍神經(jīng)損傷評(píng)定與康復(fù)課件37周圍神經(jīng)損傷評(píng)定與康復(fù)課件38周圍神經(jīng)損傷評(píng)定與康復(fù)課件39周圍神經(jīng)損傷評(píng)定與康復(fù)課件40周圍神經(jīng)損傷評(píng)定與康復(fù)課件41周圍神經(jīng)損傷評(píng)定與康復(fù)課件42周圍神經(jīng)損傷評(píng)定與康復(fù)課件43周圍神經(jīng)損傷評(píng)定與康復(fù)課件44周圍神經(jīng)損傷評(píng)定與康復(fù)課件45周圍神經(jīng)損傷評(píng)定與康復(fù)課件46周圍神經(jīng)損傷評(píng)定與康復(fù)課件47周圍神經(jīng)損傷評(píng)定與康復(fù)課件48周圍神經(jīng)損傷評(píng)定與康復(fù)課件49周圍神經(jīng)損傷評(píng)定與康復(fù)課件50周圍神經(jīng)損傷評(píng)定與康復(fù)課件51周圍神經(jīng)損傷評(píng)定與康復(fù)課件52周圍神經(jīng)損傷評(píng)定與康復(fù)課件53周圍神經(jīng)損傷評(píng)定與康復(fù)課件54周圍神經(jīng)損傷評(píng)定與康復(fù)課件55周圍神經(jīng)損傷評(píng)定與康復(fù)課件56周圍神經(jīng)損傷評(píng)定與康復(fù)課件57周圍神經(jīng)損傷評(píng)定與康復(fù)課件58周圍神經(jīng)損傷評(píng)定與康復(fù)課件59周圍神經(jīng)損傷評(píng)定與康復(fù)課件60周圍神經(jīng)損傷評(píng)定與康復(fù)課件61周圍神經(jīng)損傷評(píng)定與康復(fù)課件62周圍神經(jīng)損傷評(píng)定與康復(fù)課件63周圍神經(jīng)損傷評(píng)定與康復(fù)課件64周圍神經(jīng)損傷評(píng)定與康復(fù)課件65周圍神經(jīng)損傷評(píng)定與康復(fù)課件66周圍神經(jīng)損傷評(píng)定與康復(fù)課件67周圍神經(jīng)疾病Diseasesoftheperipheralnerves周圍神經(jīng)疾病68、周圍神經(jīng)解剖要點(diǎn)·周圍神經(jīng)系統(tǒng)包括脊神經(jīng)和腦神經(jīng)(除外視神經(jīng)和嗅神經(jīng))感覺傳入神經(jīng)根·運(yùn)動(dòng)傳出神經(jīng)根、周圍神經(jīng)解剖要點(diǎn)69神經(jīng)結(jié)構(gòu)胞體CellBody軸突髓鞘BasementmembrareMyelinsheathNormal神經(jīng)結(jié)構(gòu)70DorsalInterneuronDorsalDorsalSensoryganglionperipheralhornMuscleCentral中樞周圍效應(yīng)器前根:運(yùn)動(dòng)性肌肉·后根:感覺性感覺神經(jīng)末梢神經(jīng)干:混合性Dorsal71二、周圍神經(jīng)病的原因特發(fā)性:自身免疫性疾病:AIDP、CIPD』營(yíng)養(yǎng)及代謝性:酒精性、糖尿病、維生素缺乏藥物及中毒:有機(jī)磷、順鉑、重金屬傳染性:麻風(fēng)、艾滋病血管炎性:類風(fēng)濕、SLE、硬皮病腫瘤性:淋巴瘤、副腫瘤綜合征、副蛋白血癥(POEMS綜合征)遺傳性:如cMT嵌壓性:如CTS、椎間盤突出外傷性:二、周圍神經(jīng)病的原因72周圍神經(jīng)損傷評(píng)定與康復(fù)課件73周圍神經(jīng)損傷評(píng)定與康復(fù)課件74周圍神經(jīng)損傷評(píng)定與康復(fù)課件75周圍神經(jīng)損傷評(píng)定與康復(fù)課件76周圍神經(jīng)損傷評(píng)定與康復(fù)課件77周圍神經(jīng)損傷評(píng)定與康復(fù)課件78周圍神經(jīng)損傷評(píng)定與康復(fù)課件79周圍神經(jīng)損傷評(píng)定與康復(fù)課件80周圍神經(jīng)損傷評(píng)定與康復(fù)課件81周圍神經(jīng)損傷評(píng)定與康復(fù)課件82周圍神經(jīng)損傷評(píng)定與康復(fù)課件83周圍神經(jīng)損傷評(píng)定與康復(fù)課件84周圍神經(jīng)損傷評(píng)定與康復(fù)課件85周圍神經(jīng)損傷評(píng)定與康復(fù)課件86周圍神經(jīng)損傷評(píng)定與康復(fù)課件87周圍神經(jīng)損傷評(píng)定與康復(fù)課件88周圍神經(jīng)損傷評(píng)定與康復(fù)課件89周圍神經(jīng)損傷評(píng)定與康復(fù)課件90周圍神經(jīng)損傷評(píng)定與康復(fù)課件91周圍神經(jīng)損傷評(píng)定與康復(fù)課件92周圍神經(jīng)損傷評(píng)定與康復(fù)課件93周圍神經(jīng)損傷評(píng)定與康復(fù)課件94周圍神經(jīng)損傷評(píng)定與康復(fù)課件95周圍神經(jīng)損傷評(píng)定與康復(fù)課件96周圍神經(jīng)損傷評(píng)定與康復(fù)課件97周圍神經(jīng)損傷評(píng)定與康復(fù)課件98周圍神經(jīng)損傷評(píng)定與康復(fù)課件99周圍神經(jīng)損傷評(píng)定與康復(fù)課件100周圍神經(jīng)損傷評(píng)定與康復(fù)課件101周圍神經(jīng)損傷評(píng)定與康復(fù)課件102周圍神經(jīng)損傷評(píng)定與康復(fù)課件103周圍神經(jīng)損傷評(píng)定與康復(fù)課件104周圍神經(jīng)損傷評(píng)定與康復(fù)課件105周圍神經(jīng)損傷評(píng)定與康復(fù)課件106周圍神經(jīng)損傷評(píng)定與康復(fù)課件107周圍神經(jīng)損傷評(píng)定與康復(fù)課件108周圍神經(jīng)損傷評(píng)定與康復(fù)課件109周圍神經(jīng)損傷評(píng)定與康復(fù)課件110周圍神經(jīng)損傷評(píng)定與康復(fù)課件111周圍神經(jīng)損傷評(píng)定與康復(fù)課件112周圍神經(jīng)損傷評(píng)定與康復(fù)課件113周圍神經(jīng)損傷評(píng)定與康復(fù)課件114周圍神經(jīng)損傷評(píng)定與康復(fù)課件115周圍神經(jīng)損傷評(píng)定與康復(fù)課件116周圍神經(jīng)損傷評(píng)定與康復(fù)課件117周圍神經(jīng)損傷評(píng)定與康復(fù)課件118周圍神經(jīng)損傷評(píng)定與康復(fù)課件119周圍神經(jīng)損傷評(píng)定與康復(fù)課件120周圍神經(jīng)損傷評(píng)定與康復(fù)課件121周圍神經(jīng)損傷評(píng)定與康復(fù)課件122周圍神經(jīng)損傷評(píng)定與康復(fù)課件123周圍神經(jīng)損傷評(píng)定與康復(fù)課件124周圍神經(jīng)損傷評(píng)定與康復(fù)課件125周圍神經(jīng)損傷