出血性脑卒中1分析.ppt

出血性脑卒中hemorrhagic apoplexy 中南大学湘雅医院神经内科 谷文萍 Wenping Gu,MD.PhD. Neurology Department, Xiangya Hospital, central south University 脑出血cerebral hemorrhage 脑出血cerebral hemorrhage 是指原发性非外伤性脑实质内出血 发病率高，占全部脑卒中20％—30％ 80%以上由高血压性脑内细小动脉病变引起,固又称高血压动脉硬化性脑出血 Hypertension is the most common underlying cause of nontraumatic intracerebral hemorrhage 病因与发病机制etiopathogenisis and pathogenesy 高血压性脑内细小动脉硬化 高血压性脑动脉硬化时可有脑内细小动脉透明变性、纤维素样坏死，病变管壁在血流冲击下形成微动脉瘤 hypertension appears to promote structural changes including lipohyalinosis, fibrinoid necrosis and microaneurysm formation in the walls of pinetrating arterie