Abellán M T, Pascual B, Martí-Vilalta J L
Servicio de Neurologia, Hospital de la Santa Creu i Sant Pau, Sant Antoni Maria Claret, Barcelona.
Rev Neurol. 1995 Sep-Oct;23(123):993-1007.
Stroke is due to abnormalities in the vascular wall, heart disease or hematological abnormalities. This last cause has a low causal rate in stroke but despite this its importance is self evident given that there still exists a number of stroke patients where etiology cannot be established. An exhaustive check was carried out on the different hematological phenomena which may play a part in the etiology of ischaemic or hemorrhagic strokes. We analyzed abnormalities in the red series, white series and blood cells; coagulapathies; discrasias of the plasmic cells and antiphospholipid antibodies. For each of the hematological entities, conceptual criteria, their role in brain hemorrhage or ischaemia, and therapeutic measures were established.
中风是由血管壁异常、心脏病或血液学异常引起的。最后一个原因在中风中的因果率较低,但尽管如此,鉴于仍有许多中风患者的病因无法确定,其重要性不言而喻。我们对可能在缺血性或出血性中风病因中起作用的不同血液学现象进行了详尽检查。我们分析了红细胞系列、白细胞系列和血细胞的异常;凝血障碍;浆细胞异常和抗磷脂抗体。针对每一种血液学情况,制定了概念标准、它们在脑出血或缺血中的作用以及治疗措施。