脑血管意外56例尸检临床病理分析  

Cerebrovascular accidents:a clinicopathological study of 56 autopsy cases

作　　者：于海胜 蔡灵卿 李萱 张可丽 方义湖 YU Haisheng;CAI Lingqing;LI Xuan;ZHANG Keli;FANG Yihu(Department of Pathology,Basic Medical College,Jiangxi Medical College,Shangrao 334000,China)

机构地区：[1]江西医学高等专科学校基础医学院病理教研室,上饶334000

出　　处：《临床与实验病理学杂志》2023年第9期1069-1072,共4页Chinese Journal of Clinical and Experimental Pathology

基　　金：江西省教育厅科学技术研究项目(GJJ2205808)。

摘　　要：目的 了解脑血管意外中各种死亡原因所占的比例。方法 回顾性分析脑血管意外56例尸检报告,并对其死亡原因进行分类、统计和分析。结果 脑血管意外56例尸检报告中,直接死因主要包含脑出血和脑梗死两大类,其中脑出血37例(66%),脑梗死19例(34%);出现脑血管意外的疾病因素有8类,分别为高血压11例(20%),脑血管畸形9例(16%),血液病及凝血障碍7例(13%),脑先天性动脉瘤6例(11%),脑肿瘤6例(11%),脑栓塞9例(16%),脑血栓形成6例(11%),动脉粥样硬化有关的血管破裂2例(4%)。结论 脑血管意外中脑出血发病多于脑梗死,脑出血多因死者出现高血压性或血管畸形破裂所导致;脑梗死中脑栓塞多于脑血栓的形成,同时脑血管畸形多于先天性动脉瘤。Purpose To understand the proportion of various causes of death in cerebrovascular accidents(CVAs).Methods The autopsy reports of 56 cases of CVAs were retrospectively analyzed,and the causes of death were classified and statistically analyzed.Results Analysis of the autopsy reports revealed two major categories:cerebral hemorrhage(37 cases,66%)and cerebral infarction(19 cases,34%).There were 8 types of disease factors,which were hypertension in 11 cases(20%),cerebrovascular malformations in 9 cases(16%),blood diseases and coagulation disorders in 7 cases(13%),cerebral congenital aneurysms in 6 cases(11%),brain tumors in 6 cases(11%),cerebral embolism in 9 cases(16%),and cerebral thrombosis in 6 cases(11%),and atherosclerotic vascular rupture in 2 cases(4%).Conclusion The incidence of cerebral hemorrhage in CVAs is more than that of cerebral infarction.Cerebral hemorrhage is mostly caused by hypertensive or vascular malformation rupture in the deceased.Cerebral embolism is more common than thrombosis in cases of cerebral infarction,and cerebrovascular malformations outnumber congenital aneurysms.

关 键 词：脑血管意外 尸检资料 临床分析 病理分析 

分 类 号：R602[医药卫生—外科学]