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刚果嗜银血管病在中老年蛛网膜下腔-实质内出血发生中的作用

[Role of congophilis angiopathy in the genesis of subarachnoid--parenchymatous hemorrhages in middle-aged and elderly persons].

作者信息

Zenkevich G S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(1):52-7.

PMID:629144
Abstract

The author conducted a morphological analysis of 8 cases (from 61--83 years old) with extensive subarachnoidoparenchymatous hemorrhages, accompanied by expressed congofil angiopathy in different clinical processes. In 5 cases congofil angiopathy was the only lesion of cerebral vessels, in 3 cases it was combined with hypertensive angiography and atherosclerosis. In the latter cases the morphological picture was characterized by a great diversity due to greater expressiveness of accompanying hyalinosis and proliferative changes in the walls of the vessels. In both subgroups all the changes were prevalently in the meningocortical vessels. The author points to frequent relapses of the process.

摘要

作者对8例(年龄61 - 83岁)广泛性蛛网膜下腔实质出血患者进行了形态学分析,这些患者在不同临床过程中伴有明显的刚果红血管病。5例中刚果红血管病是脑血管的唯一病变,3例中它与高血压性血管造影和动脉粥样硬化合并存在。在后一种情况下,由于伴随的透明变性和血管壁增殖性改变更明显,形态学表现具有很大多样性。在两个亚组中,所有变化主要发生在脑膜皮质血管。作者指出该过程频繁复发。

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