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高血压动脉硬化是脑出血最常见的原因,此外尚有一些具有风湿性心脏病和亚急性细菌性心内膜炎的青壮年人,突然或反复的发生脑卒中症状,临床上多诊断为脑栓塞,但经过腰穿或死后剖检证实,其中的一部分表现是出血。由于学者对其发病机制认识不同,因而诊断命名也不统一:Schwarz氏称为栓塞性脑出血,日本中川氏则称其为动脉炎性脑出血。近几年来我们在40例脑出血的剖检中,有两例与Schwarz氏所描写的栓塞性脑出血相同,茲报告如下,并与高血压动脉硬化性脑出血对照就栓塞性脑出血的形态病理及其发生机制等略加探讨:
Hypertension Arteriosclerosis is the most common cause of cerebral hemorrhage, in addition there are still some young adults with rheumatic heart disease and subacute bacterial endocarditis, sudden or repeated symptoms of stroke, clinically more diagnosis of brain Embolism, but after lumbar puncture or death confirmed by autopsy, part of the performance is bleeding. Because of their different understanding of the pathogenesis of scholars, so the diagnosis is not uniform named: Schwarz called embolic cerebral hemorrhage, Japan Nakagawa said it is arteritis cerebral hemorrhage. In the past few years we have 40 cases of cerebral hemorrhage in the autopsy, there are two cases and Schwarz’s description of the same embolic cerebral hemorrhage, it is reported as follows, and hypertensive arteriosclerosis cerebral hemorrhage control embolism cerebral hemorrhage morphology Pathology and its mechanism a little more discussion: