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[大脑中动脉系统完全梗死的诊断困难]

[Diagnostic difficulties in total infarct in the middle cerebral artery system].

作者信息

Bakhur V T

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(9):1300-6.

PMID:494929
Abstract

Under study there were 12 cases of total infarction within the median cerebral artery system. The resemblance of this disease with cerebral hemorrhage consists not only in the similarity of the neurological symptoms, but also frequently in analogous shifts on the part of peripheral blood and metabolic processes. For diagnostic differentiation dynamic examinations of cerebrospinal liquor can be used. If the absence of erythrocytes in the liquor is confirmed repeatedly, or they appear later and in an insignificant quantity, the diagnosis of the total infarction becomes almost absolitely correct. If, however, the blood appears in the liquor in a greater amount, an extremely thorough analysis of the clinical course of the disease in comparison with the liquor dynamics is necessary, so as to give a correct interpretation of a particular case of the disease.

摘要

研究中有12例大脑中动脉系统完全梗死病例。这种疾病与脑出血的相似之处不仅在于神经症状的相似性,还常常在于外周血液和代谢过程方面的类似变化。为了进行诊断鉴别,可以采用脑脊液动态检查。如果多次证实脑脊液中没有红细胞,或者红细胞出现较晚且数量很少,那么完全梗死的诊断几乎是绝对正确的。然而,如果脑脊液中出现大量血液,则需要将疾病的临床过程与脑脊液动态进行极其全面的分析,以便对该疾病的特定病例做出正确的解释。

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