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[新生儿脑内出血的病理形态学与鉴别诊断]

[Pathomorphology and differential diagnosis of intracerebral hemorrhages in newborn infants].

作者信息

Vlasiuk V V

出版信息

Arkh Patol. 1986;48(6):44-51.

PMID:3753237
Abstract

Eleven cases of intracerebral hemorrhages (ICH), 9 of which were of hematoma type, were studied morphologically. On the basis of topography 2 main types of ICH were recognized: subcortical-cortical and periventricular. It is suggested, that ICH can be not only so-called the "main focus", but also the result of the blood penetration into the cerebral matter from the subpial and subependial hemorrhages, as well as a complication of the ischemic brain infarctions, including periventricular leukomalacia. The authors outline some criteria of differential diagnosis of ICH with hemorrhagic cortical infarctions, periventricular hemorrhagic (venous) infarction and hemorrhagic leucoencephalopathy.

摘要

对11例脑出血(ICH)进行了形态学研究,其中9例为血肿型。根据出血部位,确认了2种主要的脑出血类型:皮质下-皮质型和脑室周围型。研究表明,脑出血不仅可以是所谓的“主要病灶”,还可能是血液从软脑膜下和室管膜下出血渗入脑实质的结果,以及缺血性脑梗死(包括脑室周围白质软化)的并发症。作者概述了脑出血与出血性皮质梗死、脑室周围出血性(静脉性)梗死和出血性白质脑病的鉴别诊断标准。

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