摘要
目的 探讨脑出血吸收期包膜形成与持续性脑水肿的病理改变和临床特点。方法 分析12例中，小量脑出血患者的临床资料。结果 血肿吸收液中K^+,Na^+水平与血液比较无明显差异；术中见血肿几乎完全液化，腔内压力极高，周围脑组织呈现灰白色，水含量增多，血肿包膜为脑组织大量陈旧性出血和新生毛细血管，弥漫性及袖套状淋巴细胞浸润；患者预后良好11例。死亡1例。结论 中，小量脑出血可在吸收期以后出现包膜与持续性脑水肿并存，而导致恶性颅高压，治疗应采取联合脱水及对较大包膜外血肿进行手术治疗。
Objective To investigate capsule formation and the pathological change and clinical characteristics of continuous cerebral edema in absorption period of cerebral hemorrhage.Methods The clinical data of 12 cases with small and intermediate volume cerebral hemorrhage were analysed.Results There was no significant difference between K +,Na + level in hematoma absorption solution and K +,Na + level in blood;during the operation hematoma was found to be as good as liquidized,the pressure in the cavity i...
出处
《第四军医大学吉林军医学院学报（86813X）》
2003年第1期21-23,共3页
Journal of Jilin Military Medical College Fourth Military Medical University
关键词
脑出血
包膜形成
持续性脑水肿
cerebral hemorrhage
capsule formation
continuous cerebral hemorrhage
