Kononenko V V, Iarosh O A, Lugovskiĭ A G
Zh Nevrol Psikhiatr Im S S Korsakova. 1993;93(3):89-90.
Two cases of cerebral aneurysm rupture with repeat subarachnoidal haemorrhage are reported in patients with pneumococcal infection confirmed bacteriologically. It is concluded that in pathogenesis of the aneurysmal rupture in pneumococcal infection a significant role is played not only by pneumococcal tropism to the meninges, but also by affection of the endothelium and cerebral vascular membranes, hemostasis defects, arterial hypertension as manifestations of a general adaptation syndrome.
报告了2例经细菌学确诊为肺炎球菌感染的脑动脉瘤破裂并反复蛛网膜下腔出血的病例。得出的结论是，在肺炎球菌感染导致动脉瘤破裂的发病机制中，不仅肺炎球菌对脑膜的嗜性起着重要作用，而且内皮和脑血管膜的病变、止血缺陷、作为全身适应综合征表现的动脉高血压也起着重要作用。
