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死于新鲜脑血管疾病患者的动脉粥样硬化和心肌病变。

Atherosclerosis and myocardial lesions in subjects dying from fresh cerebrovascular disease.

作者信息

Kagan A R

出版信息

Bull World Health Organ. 1976;53(5-6):597-600.

Abstract

TAKING INTO ACCOUNT AGE, SEX, GEOGRAPHICAL DISTRIBUTION, OBESITY, AND ASSOCIATED CAUSE OF DEATH, IT WAS CONCLUDED THAT: (1) the extent of aortic calcification was much lower in cerebral haemorrhage than in cerebral infarct. In deaths due to cerebral haemorrhage aortic calcification was at about the same level as in those due to cancer of the stomach, while in deaths due to cerebral infarct it was at the same level as in those due to coronary heart disease; (2) the prevalence of large myocardial scar was low in deaths due to cerebral haemorrhage (at about the same level as in those due to prostatic cancer), while in deaths due to cerebral infarct it was more frequent (at the same level as in deaths due to diabetes); (3) the extent of coronary calcification and prevalence of coronary stenosis and fresh myocardial infarction were low in the cerebral haemorrhage and cerebral infarct deaths, but a little lower in the former; and (4) the extent of raised lesions of the aorta and coronary arteries was similar in the cerebral haemorrhage and cerebral infarct deaths, the level of aortic lesions being high and overlapping in level with those in the coronary heart disease and hypertensive deaths, and the levels of coronary lesions being much lower and well below those in the coronary and diabetic hypertensive deaths.

摘要

综合考虑年龄、性别、地理分布、肥胖及相关死因后,得出以下结论:(1)脑出血患者的主动脉钙化程度远低于脑梗死患者。脑出血死亡者的主动脉钙化程度与胃癌死亡者大致相同,而脑梗死死亡者的主动脉钙化程度与冠心病死亡者相同;(2)脑出血死亡者中大心肌瘢痕的患病率较低(与前列腺癌死亡者大致相同),而脑梗死死亡者中则更为常见(与糖尿病死亡者相同);(3)脑出血和脑梗死死亡者的冠状动脉钙化程度、冠状动脉狭窄患病率及新鲜心肌梗死发生率较低,但脑出血死亡者更低;(4)脑出血和脑梗死死亡者的主动脉和冠状动脉病变隆起程度相似,主动脉病变程度较高,与冠心病和高血压死亡者的病变程度重叠,而冠状动脉病变程度则低得多,远低于冠心病和糖尿病高血压死亡者的病变程度。

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