脑血管意外180例尸检资料的临床病理分析

目的了解脑血管意外各种病因所占的比例。方法对１８０例脑血管意外的尸检资料进行分类、统计及分析。结果在１８０例尸检中,脑出血１２５例（６９％）,主要有高血压３６例（２０％）,脑血管畸形２８例（１６％）,血液病及凝血障碍２３例（１３％）,脑先天性动脉瘤及脑肿瘤各９例（各为５％）;脑梗塞５５例（３１％）,主要有脑栓塞２９例（１６％）,脑血栓形成（含动脉及静脉窦）１７例（１０％）,其中与动脉粥样硬化有关的血栓形成５例（３％）。结论在脑血管意外尸检病例中,脑出血多于脑梗塞。脑出血中半数以上是高血压性及血管畸形破裂所致。脑梗塞中脑栓塞多于脑血栓形成。脑血管畸形多于先天性动脉瘤。

Pathological analysis of 180 cases of cerebrovascular disorder in autopsy

Objective To evaluate the ratio of each kind of causes in 180 cases of cerebrovascular disorder(CVD) in autopsy.Results In 180 cases of CVD in autopsy: (1)125 (69%) belong to brain hemorrhage including hypertension 36 cases(20%),vascular malformation 28 cases(16%), hemopoitic diseases and blood coagulation disturbances 23 cases(13%), congenital aneurysm and brain tumor 9 cases(5%) each separately. (2) 55 cases (31%) are due to brain infarction,main of them are caused by embolism 29 cases (16%) and thrombosis 17 cases(10%). Thrombosis related to atherosclerosis has 5 cases(3%). Conclusion In CVD in autopsy,brain hemorrhage is more than infarction,the ratio of them is 2.3:1. More than 50% of cases is due to hypertension and vascular malformation.In infarction,embolism is more than thrombosis,the ratio of them is 1.7:1.Vascular malformation is more than congenital aneurysm,the ratio of them is 3:1.