Morgunov V A, Gulevskaia T S
Arkh Patol. 1980;42(9):23-8.
Morphological lesions in the brain in 11 cases of combined lacunar condition and cerebral hemorrhages in arterial hypertension were studied. Lacunes were found to be cavities arising as a result of small infarctions developing in the basin of intracerebral arteries with narrowed or obliterated lumen. Lesions in the arterial walls are due to arterial hypertension. Examination of hemorrhage foci revealed structural elements of lacunes located on the edge and around hemorrhage. The lacunes and cerebral lesions accompanying them (criblurs, perivascular encephalolysis foci, incomplete necrosis foci) in some cases favour the development of cerebral hemorrhages and blood spread from the hemorrhage focus.
对11例高血压合并腔隙状态和脑出血患者的脑形态学病变进行了研究。发现腔隙是由于脑动脉供血区内发生小梗死而形成的空洞,这些动脉管腔狭窄或闭塞。动脉壁病变是由高血压引起的。对出血灶的检查发现,在出血边缘及周围存在腔隙的结构成分。在某些情况下,腔隙及其伴随的脑病变(筛状软化灶、血管周围脑溶解灶、不完全坏死灶)有利于脑出血的发生及出血灶血液的扩散。