探讨高血压脑出血的病理改变及对周围组织的影响

The Pathological Changes of Hypertensive Intracerebral Hemorrhage and Its Influence on the Surrounding Tissues

目的 研究分析高血压脑出血患者的病理变化对附近组织的影响。方法 研究分析我院2011年1月~2012年12月的34例高血压脑出血患者的临床治疗资料。对高血压脑出血病症和附近血肿组织的病理变化进行总结和归纳。结果 全部34例高血压脑出血患者接受病理镜检时,观察到有20例患者存在铁血黄素颗粒,14例有神经胶质细胞增生,6例有尼氏小体,10例的神经细胞核固缩胞浆消失,6例血管内皮增生,16例钙化灶,14例软化灶,17例点片状出血。结论 高血压脑出血患者的病理改变会影响附近的正常脑组织,其发病是长时间高血压引起的,属于慢性疾病,临床中出血后,早期就会有局部和全脑的生理变化。

Objective To study the effect of pathological changes of hypertensive cerebral hemorrhage on the nearby tissues.MethodsThe clinical data of 34 cases of hypertensive cerebral hemorrhage in our hospital from January 2011 to December 2012 were analyzed. To sum up the pathological changes of the hypertensive cerebral hemorrhage and the pathological changes of the nearby hematoma.Results All 34 cases of hypertensive cerebral hemorrhage patients underwent pathologic examination and observed the presence of hemosiderin granules in 20 patients, 14 cases with glial cell proliferation, 6 cases with Nissl bodies, 10 cases of karyopyknosis cytoplasm disappeared, 6 cases of vascular endothelial hyperplasia, 16 cases of calciifcation, 14 cases of malacia, 17 cases of little lfaky bleeding.Conclusion Hypertensive cerebral hemorrhage patients with pathological changes will influence in the vicinity of the normal brain tissue, the incidence is caused by hypertension for a long time, is a chronic disease, clinical hemorrhage, early will have local and whole brain physiological changes.