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[重症脑梗死的鉴别诊断(临床脑超声图及病理形态学研究)]

[Differential diagnosis of severe forms of cerebral infarct (clinico-echoencephalographic and pathomorphologic study)].

作者信息

Martynov Iu S, Kalmykov V A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(7):1022-8.

PMID:6624320
Abstract

Clinical, echoelectroencephalographic and pathomorphological study in 73 patients with grave ischemic insult in arteria cerebralis media region was performed. Brain infarctions caused by thrombosis were characterized by small M-echo displacement 12 hours after process beginning followed by displacement increase in 3-4 days. Brain infarctions caused by thromboembolic process were characterized by small M-echo displacement 6 hours after accident with subsequent fast increase of displacement till mean or great values in the second half of the first day. Supratentorial brain infarctions not connected with thrombosis were not accompanied by M-echo displacement.

摘要

对73例大脑中动脉区域严重缺血性损伤患者进行了临床、脑电超声及病理形态学研究。血栓形成所致脑梗死的特征为发病12小时后M波位移小,随后在3 - 4天内位移增加。血栓栓塞所致脑梗死的特征为事故发生6小时后M波位移小,随后在第一天后半期位移迅速增加至平均或较大值。与血栓形成无关的幕上脑梗死不伴有M波位移。

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