Golosovskaia M A, Ermolaev V I
Arkh Patol. 1987;49(11):38-43.
A total of 54 dissecting aneurysms have been examined (47 autopsy and 7 operative specimens) from 43 males and 11 females aged 22 to 76 years. Of these, 24 were of type I, 6 of type II, and 24 of type III (according to DeBekey's classification). The various diseases preceeding the dissection were identified and found to include arterial hypertension in half of the cases. Morphologic changes in the aortal wall (medionecrosis, cystic medionecrosis, fragmentation of elastic fibers) were detected in a number of diseases proceeding the dissection, which confirms that these changes were nonspecific. Structural descriptions of the dissecting aneurysms are presented in relation to the time on their onset.
共检查了54个夹层动脉瘤（47个尸检标本和7个手术标本），来自43名男性和11名女性，年龄在22至76岁之间。其中，根据德贝基分类法，I型24个，II型6个，III型24个。确定了夹层动脉瘤发生前的各种疾病，发现其中一半病例存在动脉高血压。在夹层动脉瘤发生前的一些疾病中检测到主动脉壁的形态学变化（中层坏死、囊性中层坏死、弹性纤维断裂），这证实这些变化是非特异性的。根据夹层动脉瘤发病时间给出了其结构描述。
