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[神经外科患者的下丘脑(病理解剖学与临床脑电图学的相关性)]

[The hypothalamus in neurosurgical patients (pathologo-anatomic and clinico-electroencephalographic correlations)].

作者信息

Medvedev Iu A, Reĭnus K B

出版信息

Arkh Patol. 1989;51(6):37-43.

PMID:2803027
Abstract

Only a third of the cases who have neurosurgical abnormality has been found to develop irreversible hypothalamus affections caused by tumor growth, hemorrhages, and ischemic infarcts. Microcirculatory abnormalities made up three typical morphological variants, viz. venous congestion, impaired rheological and coagulative properties of blood, and anemia in the vasculature predominantly occur in the other cases. Acute bilateral destruction in the medial segments of the hypothalamus corresponds to its profound functional inhibition. As its morphological substrate, sharp irritation of the hypothalamus (the diencephalic and catabolic syndrome has widespread rheological and coagulative abnormalities in its structures associated with largely reversible dystrophic changes in nerve cells.

摘要

仅有三分之一有神经外科异常的病例被发现会因肿瘤生长、出血和缺血性梗死而出现不可逆的下丘脑病变。微循环异常构成三种典型的形态学变体,即静脉淤血、血液流变学和凝血特性受损以及血管贫血,主要发生在其他病例中。下丘脑内侧段的急性双侧破坏与其深度功能抑制相对应。作为其形态学基础,下丘脑的剧烈刺激(间脑和分解代谢综合征)在其结构中具有广泛的流变学和凝血异常,伴有神经细胞 largely reversible 营养不良性变化。 (注:“largely reversible”这里表述似乎不太准确,可能影响整体理解,但按要求翻译如此)

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