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[急性肺炎时神经系统的变化(临床病理形态学综合征)]

[Changes in the nervous system in acute pneumonia (clinico-pathomorphologic syndrome)].

作者信息

Tlapshokov M Kh, Kuznetsova V I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(7):1040-5.

PMID:7415722
Abstract

An analysis of clinico-electrophysiological data obtained from 300 patients suffering from focal and croupous pneumonia with nervous system involvement is presented. Clinical syndromes of the nervous system involvement in acute pneumonias are specified. In 7 lethal cases pathomorphological examinations of the brain were carried out. It has been shown that certain complexes of structural and functional non-inflammatory changes in the central nervous system underlie the neurological symptoms. The leading manifestations were: acute progressing dyscirculatory syndrome with impairment of the vascular tone and permeability, dyscirculatory hypoxia and intoxication accompanied with edema of the brain and the pia; dystrophic changes in the neurons, glia and myelin.

摘要

本文对300例患有局灶性和格鲁布性肺炎并累及神经系统的患者的临床电生理数据进行了分析。明确了急性肺炎累及神经系统的临床综合征。对7例致死病例进行了脑部病理形态学检查。结果表明,中枢神经系统某些结构和功能非炎症性改变的复合体是神经症状的基础。主要表现为:急性进行性循环障碍综合征,伴有血管张力和通透性受损、循环性缺氧和中毒,并伴有脑水肿和软脑膜水肿;神经元、神经胶质和髓鞘的营养不良性改变。

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