Kealy W F
J Clin Pathol. 1978 Oct;31(10):984-9. doi: 10.1136/jcp.31.10.984.
A review of the literature has shown that atheroembolism as a cause of clinically evident disease is an entity that is little documented. Sections of tissues from necropsies on patients over the age of 60 years from 1970 to 1977 inclusive were reviewed and examined for evidence of atheroembolism, and an incidence of 0.79% was found. In every case of embolism the aorta showed advanced atheroma, sometimes with aneurysm formation. The ESR in some instances was increased, sometimes markedly so. Some of the problems of antemorten diagnosis are discussed. To emphasise the possible clinical importance of the condition, a rare instance of spinal cord infarction due to atheroembolism is described.
文献综述表明,动脉粥样硬化栓塞作为一种临床明显疾病的病因,是一个鲜有文献记载的实体。对1970年至1977年(含)60岁以上患者尸检的组织切片进行了回顾和检查,以寻找动脉粥样硬化栓塞的证据,发现发病率为0.79%。在每一例栓塞病例中,主动脉均显示有晚期动脉粥样硬化,有时伴有动脉瘤形成。在某些情况下,血沉加快,有时明显加快。文中讨论了生前诊断的一些问题。为强调该病可能的临床重要性,描述了一例罕见的因动脉粥样硬化栓塞导致脊髓梗死的病例。