Gabashvili V M, Shakarishvili R R, Virsaladze M D
Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(9):1281-7.
A clinico-pathological analysis of 390 cases demonstrated that the clinico-pathogenetical traits of acute cerebrovascular lesions in individuals of different age groups permitted to distinguish in the group of acute cerebral dyshemia 2 nosological variants: acute disorders of cerebral circulation in the young and acute disorders of cerebral circulation in the elderly. In the young age group there is a prevalence of hemorrhagic processes, in the elderly-- ischemic lesions. An aggravating factor influencing the outcome in the younger group is the development of secondary liquid and cerebral hemocirculatory disorders, while in the other group--early appearing somatic disturbances. The important pathophysiological links due to which there may be clinical differences in the studied 2 groups are different types of the cerebral vasomotor function and the reactivity of the sino-aortal reflexogenic system.
对390例病例的临床病理分析表明,不同年龄组个体急性脑血管病变的临床发病特征使得在急性脑供血不足组中可区分出2种疾病变体:年轻人的急性脑循环障碍和老年人的急性脑循环障碍。在年轻年龄组中出血性病变居多,而在老年组中缺血性病变居多。影响年轻组预后的一个加重因素是继发性液体和脑血液循环障碍的发生,而在另一组中则是早期出现的躯体障碍。在所研究的这两组中可能存在临床差异的重要病理生理联系是脑血管运动功能的不同类型以及窦主动脉反射系统的反应性。