65例脑血管畸形的临床病理与预后  

Correlation between clinicopathological features and prognosis of 65 cases of cerebrovascular malformation

作　　者：吴秀枝[1,2] 李柏林[1,2] 易汉荣[1,2] 曾庆杏 彭汉芬[1,2] 

机构地区：[1]湖北医科大学附属第一医院神经精神病研究所 [2]黄石冶钢医院神经科

出　　处：《卒中与神经疾病》1998年第3期148-150,共3页Stroke and Nervous Diseases

摘　　要：１５年间经神经外科切除的６５例脑血管畸形资料临床病理与预后分析表明，年龄最小者为３．６岁，最大者为６５岁；４２例突然发病，出现头痛、头晕、抽搐或昏迷等症状而加以重视，应考虑本病的可能；ＣＴ或ＭＲＩ扫描有助于诊断；血管畸形的脑内部位也极为重要，脑干、基底节区症状或体征明显；血管破裂出血量非常关键，出血量多时症状体征突出，血管形态学分类对临床预后有一定指导意义，动脉型一般出血量较少，临床症状体征相对较轻，预后较好，静脉型或毛细血管型常出血量较多，症状体征相对严重，预后也较差，这与血管壁结构和承受压力有关，出血常为本病的主要死因。Sixty five patients of cerebrovascular malformation resected by neurosurgery during past 15 years,were retrospectively analysed in point of correlation between clinipathological features and prognosis.The findings revealed that 42 cases occurred suddenly,and that the disorder should be suspected while manifesting headache,dizziness,twitch and coma,and that MRI and CT scanning were of importance for the diagnosis.The facts that the symptoms and signs were more apparent when the lesion site was at brainstem or basal nuclei,and that the more amount of bleeding in the case with vessel rupture was,the mor severe the symptoms and signs were,indicated that the disorder correlated closely with the lesion site and the amount of bleeding.The morphologic category had predictive signifcance for prognosis,with less amount of bleeding,slighter symptoms in arterial type and more amount of bleeding,more severe symptoms,worse prognosis in venous and capillary type,which correlated with the structure of the vessel wall and the pressure it sustained.Bleeding,which may be the result of local blood dynamic change due to cerebrovascular malformation,was the main reason of death caused by the disorders.

关 键 词：脑血管畸形 出血 预后 临床病理 

分 类 号：R743.407[医药卫生—神经病学与精神病学]