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蛛网膜下腔出血的血管病变:血管造影与形态学关联

The angiopathy of subarachnoid hemorrhage: angiographic and morphologic correlates.

作者信息

Smith R R, Clower B R, Peeler D F, Yoshioka J

出版信息

Stroke. 1983 Mar-Apr;14(2):240-5. doi: 10.1161/01.str.14.2.240.

DOI:10.1161/01.str.14.2.240
PMID:6836650
Abstract

In patients with subarachnoid hemorrhage, particularly hemorrhage due to aneurysmal rupture, there was a positive significant relation between angiographic vessel constriction and vessel pathology (angiopathy). Furthermore, there was a positive relationship between post-hemorrhage survival time and the severity of angiopathy. Factors such as age, sex, operations, steroid and CSF pressure seemed to have little affect on angiopathy following hemorrhage. Pathological changes were primarily limited to the involved major cerebral vessels themselves, with their branches rarely being affected. While intramural vascular hemorrhage was a common pathological feature in vessels showing severe pathology, the mere presence of blood surrounding an artery seemed to have little influence on vessel alterations.

摘要

在蛛网膜下腔出血患者中,尤其是因动脉瘤破裂导致的出血,血管造影显示的血管收缩与血管病变(血管病)之间存在显著正相关。此外,出血后的生存时间与血管病的严重程度之间也存在正相关。年龄、性别、手术、类固醇和脑脊液压力等因素似乎对出血后的血管病影响很小。病理变化主要局限于受累的大脑主要血管本身,其分支很少受到影响。虽然壁内血管出血是显示严重病变的血管中常见的病理特征,但动脉周围单纯存在血液似乎对血管改变影响不大。

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