5.6 脑血管病.pptVIP

病变类型 缺血 出血 压迫 血小板活化参与了易损斑块的病理过程 6 手术治疗 瘤颈夹闭术、瘤内填塞术、动脉瘤切除术等 基底动脉尖端动脉瘤（栓前） 基底动脉尖端动脉瘤（栓后） Fig. 1. Cross-section of a type VI plaque specimen from carotid endarterectomy stained with Movat’s pentachrome. A rupture (arrow) of the blue ?brous cap has occurred exposing the thrombogenic lipid- rich necrotic core (N) to the lumen (L). Resultant in- traplaque hemorrhage appears red. Thus, a larger lipid core represents a more active atherosclerotic process and likewise a greater macro- phage burden most likely re?ects a greater risk of ?- brous cap weakening and ultimately plaque rupture. * 这要从缺