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分析55例高血压动脉硬化性脑出血的临床病理资料,临床分为极重型、重型和轻型,与出血部位有关。出血以大脑半球的基底节为最多(占82%),可分为壳核内侧型,壳核外侧型和向周围扩展的混合型,出血局限者存活时间较长。指出长期高血压所致脑内小动脉变性,微小动脉瘤形成是脑出血的基础,且出血范围广,亦属混合型。认为早期积极控制脑水肿为极重要关键,防治高血压是预防的根本措施。
Analysis of 55 cases of hypertensive arteriosclerosis cerebral hemorrhage clinical and pathological data, the clinical is divided into extremely heavy, heavy and light, and the bleeding site. Hemorrhage in the cerebral hemispheres of the basal ganglia is the most (82%), can be divided into the medial putamen, putamen nuclear lateral type and the surrounding extended mixed type, bleeding limitations were longer survival. Pointed out that long-term high blood pressure caused by intracranial arteriolar degeneration, micro aneurysm is the basis of cerebral hemorrhage, and a wide range of bleeding, is a mixed type. It is considered that the early positive control of cerebral edema is the most important and prevention and treatment of hypertension is the fundamental measure of prevention.