[急性肺炎中的脑综合征]

[Cerebral syndromes in acute pneumonias].

作者信息

Bogolepov N K, Tlapshokov M Kh, Dubrovskaia M K, Aristova R A, Kuzin V M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(11):1628-35.

Abstract

The paper deals with an analysis of some clinical and electrophysiological (EEG, EMG, REG) studies in 300 patients with focal and croupous pneumonia accompanied by the nervous system lesions. The authors distinguish clinical syndromes of the nervous system lesions in acute pneumonia. It was possible to demonstrate a certain correlation between the character of electrophysiological data and the severity, localization of pneumonia, and the prevalent lesions in different parts of the nervous system. It was also possible to show the role of acute general cerebral oxygen insufficiency due to disturbed respiration and concomitant acute cardiac insufficiency in the pathogenesis of nervous system changes in acute pneumonia. In such cases there is an anoxic brain anoxia with an insufficient oxygen supply of the cortex, brain stem formations and the spinal cord.

摘要

本文对300例伴有神经系统损害的局灶性和大叶性肺炎患者的一些临床和电生理（脑电图、肌电图、视网膜电图）研究进行了分析。作者区分了急性肺炎中神经系统损害的临床综合征。有可能证明电生理数据的特征与肺炎的严重程度、定位以及神经系统不同部位的主要损害之间存在一定的相关性。也有可能表明由于呼吸紊乱和伴随的急性心功能不全导致的急性全身性脑缺氧在急性肺炎神经系统变化发病机制中的作用。在这种情况下，存在缺氧性脑缺氧，皮质、脑干结构和脊髓的氧气供应不足。