高血压小动脉纤维素样坏死.ppt

  1. 1、本文档共53页,可阅读全部内容。
  2. 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
  3. 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  4. 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
Prognosis The mortality in 30 days is 35%~52%,half of the patients die within 2 days,due to cerebral herniation. Large hemorrhages of brainstem、thalamus 、ventricle implies a poor prognosis. 蛛网膜下腔出血 Subarachnoid hemorrhage, SAH Department of Neurology, The 2nd affiliated hospital, Harbin Medical University Conception It is an acute hemorrhagic cerebral vascular disease in which vessels on surface of brain and spinal cord rupture suddenly due to many causes,blood flow into the subarachnoid space,called primary SAH Secondary SAH:hemorrhages in brain、ventricle or epidural (subdural) space rupture into subarachnoid space Traumatic SAH Count for 10% in stroke,for 20% in hemorrhagic stroke Etiology Congenital aneurysm is most common etiology AVM is a less frequent cause of SAH Hypertensive arteriosclerosis aneurysm is the third cause of SAH Moyamoya disease is the forth cause Others include tumor, arteritis Pathophysiology Cerebral artery aneurysm are most commonly congenital “berry” aneurysms, which result from developmental weakness of the vessel wall, especially at the sites of branching. AVM are most common in the middle cerebral artery distribution. Arteritis can also play an important role in the disease. Tumor invasive the vessel wall can not be overlooked. Pathophysiology 颅内压增高increased ICP 阻塞性脑积水obstructive hydrocephalus 化学性脑膜炎aseptic meningitis下丘脑功能紊乱 自主神经功能紊乱dysautonimia 交通性脑积水communicating hydrocephalus 血管活性物质致血管痉挛vascular spasm、蛛网膜颗粒粘连、甚至脑梗死、正常颅压脑积水 Pathology 85%~90% of intracranial aneurysms locate anterior in the circle of Willis,they are mainly single,they are multiple in about 10%—20% of cases,locating in the opposite site of the same vessel,called mirror aneurysm. 好发于Willis环动脉分叉处 破裂频度 血液主要沉积在脑底部、脑池 可破入脑室致脑积水 蛛网膜无菌性炎症反应 Clinical features Any age of person may suffer from SAH. The classic (but not invariable) presentation of SAH is the sudden onset of an unusually severe generalized headache, patients often descr

文档评论(0)

小蜗牛 + 关注
实名认证
内容提供者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档