指非外伤性点脑实质内出血.pptVIP

(Cerebral Hemorrhage) 定义： 指非外伤性脑实质内出血 Conception It means primary and nontraumatic intracerebral hemorrhage. Count for 20%~30% in stroke Hypertension is the most common underlying cause of nontraumatic intracerebral hemorrhage. Etiology Half of the patients suffer from hypertension combined with arteriolar atherosclerosis, it is the most common cause of the disease. Others：cerebral atherosclerosis, hematopathy, cerebral amyloid angiopathy CAA , aneurysm, AVM Pathophysiology 高血压——小动脉：纤维素样坏死fibrinoid necrosis、脂质透明变性hyaline fatty change、microaneurysm小动脉瘤、微夹层动脉瘤——渗出exudation、破裂rupture 高血压—