脑出血管涌现象的临床病理学研究  

Clinical pathology study on the “piping phenomenon” after intracerebral hemorrhage

作　　者：黄瑞瑜[1] 吕田明[1] 刘晓加[1] 肖端[1] 尹恝[1] 

机构地区：[1]南方医科大学南方医院神经内科广州510515

出　　处：《中华老年心脑血管病杂志》2011年第7期637-638,共2页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：国家自然科学基金(61072033);广东省自然科学基金(8151051501000053,10151051501000076)

摘　　要：目的对血肿周围脑组织进行病理学观察,探讨"管涌现象"的临床特点。方法随机选取行立体定向微创血肿清除术的脑出血患者18例,对术中吸出的血肿周围脑组织HE染色,光镜下观察病理学改变。结果 18例患者血肿周围组织内均可见分布在血管周围间隙或神经纤维周围间隙内的"管涌现象"病灶。分布在血管周围间隙内的"管涌现象"病灶围绕在小血管周围呈环状分布,分布在神经纤维周围间隙内的"管涌现象"病灶在神经纤维间呈指状分布。结论 "管涌现象"在临床脑出血患者的血肿周围组织内广泛存在。Objective To carry out pathological observation on perihematomal brain tissue and ex- plore the clinical features of the ＂piping phenomenon＂. Methods Eighteen intracerebral hemor rhage（ICH） patients were selected. Their cerebral tissues,collected during the operation of ster- eotactic minimally invasive hematoma aspiration,were stained with the HE staining. Results The ＂piping phenomenon＂ was observed in all specimens along the perivascular space or nerve fibers, with typical pathological changes of ICH. The lesions of the ＂piping phenomenon＂ along the perivascular space revealed ＂ring hemorrhage＂ around vessels, while those between nerve fibers presented digital distribution. Conclusions The ＂piping phenomenon＂ existed extensively in the perihematomal tissue of the patients with ICH.

关 键 词：脑出血 血肿 外科手术 微创性 病理过程 

分 类 号：R743.34[医药卫生—神经病学与精神病学]