Opeskin K, Burke M P
Victorian Institute of Forensic Medicine, Southbank, Australia.
Am J Forensic Med Pathol. 2000 Dec;21(4):406-10. doi: 10.1097/00000433-200012000-00022.
Hypotensive hemorrhagic necrosis of the basal ganglia and brainstem has only occasionally been described. Three such cases are reported. Cardiac arrest had occurred in all cases, and it took at least 1 hour to restore adequate circulation. The patients remained comatose for 2 days to 2 weeks until death. Persistent hypotension causing ischemia in the distribution of deep perforating arteries is considered to have been the key underlying mechanism. Hemorrhage is thought to have been caused by extravasation of red blood cells through damaged blood vessels.
基底节和脑干的低血压性出血性坏死仅偶尔被描述过。本文报告了3例此类病例。所有病例均发生过心脏骤停，且至少需要1小时才能恢复足够的循环。患者一直昏迷2天至2周直至死亡。持续性低血压导致深穿支动脉分布区缺血被认为是关键的潜在机制。出血被认为是红细胞通过受损血管外渗所致。
