Negretskiĭ A P, Krylov V V, Ponomarev A A
Arkh Patol. 1987;49(4):50-5.
Causes of lethal outcome in patients after subarachnoid hemorrhage due to cerebral aneurysm rupture were analysed. The major death cause in the operated patients was cerebral edema and dislocation, while in non-operated ones it was the penetration of blood into the ventricles of the brain. Cerebral edema and dislocation syndrome were mainly caused after surgery by ischemic changes in cerebral tissue. A relationship between the aneurysm localization and the extent of subarachnoid hemorrhage was revealed as well as between the hematoma localization and incidence of hemorrhage into the ventricles of the brain.
分析了因脑动脉瘤破裂导致蛛网膜下腔出血患者的致死原因。手术患者的主要死亡原因是脑水肿和脑移位,而非手术患者的主要死亡原因是血液进入脑室。脑水肿和脑移位综合征主要是手术后脑组织缺血性改变所致。还揭示了动脉瘤位置与蛛网膜下腔出血范围之间的关系,以及血肿位置与血液进入脑室发生率之间的关系。