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发病率:在5,494例成人的脑病理解剖中,97例(1.8%)有小脑的自发性急性巨大血管性损害。其中39例(0.7%)为急性小脑出血和58例(1.1%)为急性小脑梗塞。在后者,其中30例有并发症28例无并发症,本文讨论以此28例为主。临床资料年龄和性别:发病年龄41~86岁(平均63岁)。男21例,女7例。病因:在病史中,动脉硬化心血管病史是本病最重要的易患因素,本组有19例(68%)。尸检发现28例中有24例显示中等度至明显的动脉硬化性小血管改变。高血压亦为一重要的易患因素,本组有12例(43%)。发病前已有糖尿病者5例(18%)。7例以前有过脑血管病史。
Incidence: Of the 5,494 adults with pathological anatomy, 97 (1.8%) had spontaneous acute giant vascular lesions of the cerebellum. Of these, 39 (0.7%) had acute cerebellar hemorrhage and 58 (1.1%) had acute cerebellar infarction. The latter, of which 30 cases of complications without complications in 28 cases, this article discusses the 28 cases based. Clinical data Age and gender: onset age of 41 to 86 years (mean 63 years). 21 males and 7 females. Etiology: In the medical history, the history of arteriosclerosis and cardiovascular disease is the most important predisposing factor of this disease. There are 19 cases (68%) in this group. Autopsy revealed that 24 of 28 patients showed moderate to significant atherosclerotic changes in the blood vessels. Hypertension is also an important predisposing factor, with 12 patients (43%) in this group. Before the onset of diabetes in 5 patients (18%). Seven patients had previous history of cerebrovascular disease.