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目的:探讨外周器官病变与急性脑血管病的关系。方法:对我院82例急性脑血管病死亡病历和尸检资料做回顾性分析。结果:外周器官的主要病理改变包括肾、脾、胰腺、肾上腺等器官的细小动脉硬化、高血压性心脏病、冠状动脉硬化性心脏病、心脏内附壁血栓和瓣膜赘生物、糖尿病胰岛萎缩和恶性肿瘤等脑血管病的病前病变;另外,还包括坠积性肺炎、肺水肿、脏器出血(胃肠道、肺、脾、肾上腺)、脏器梗死(肾、肺、脾、小肠、肢体)、败血症等脑血管病发病后的继发或并发病变。导致急性脑血管病死亡的内科并发症主要是肺部并发症和心血管疾病。结论:早期防治急性脑血管病的并发症,能减轻神经功能障碍,降低死亡率。
Objective: To investigate the relationship between peripheral organ disease and acute cerebrovascular disease. Methods: A retrospective analysis of 82 cases of acute cerebrovascular disease death in our hospital and autopsy data. Results: The main pathological changes of peripheral organs included small arteriosclerosis of the kidney, spleen, pancreas and adrenal gland, hypertensive heart disease, coronary heart disease, mural thrombus and valve neoplasm of the heart, diabetic islet atrophy and Malignancies and other cerebrovascular diseases; also include hypostatic pneumonia, pulmonary edema, organ bleeding (gastrointestinal tract, lung, spleen, adrenal), organ infarction (kidney, lung, spleen, small intestine, Limbs), sepsis and other cerebrovascular disease after the onset of secondary or concurrent lesions. The medical complications leading to the death of acute cerebrovascular disease are mainly pulmonary complications and cardiovascular diseases. Conclusion: The early prevention and treatment of acute cerebrovascular complications can reduce neurological dysfunction and reduce mortality.