摘要
32例经开颅血肿包膜全切除的慢性硬膜下血肿(CSDH)的临床资料提示,CSDH 的发生与外力大小及作用点有关。包膜多处病理检查结果提示血肿内存在慢性反复出血,其出血来源主要为附着于额前或额内侧之包膜“蒂部”即附着部及附着于硬脑膜之壁层。囊壁扫描电镜检查直接显示包膜内表面血管开口出血、血栓及机化再通等致血肿发展的客观征象。
Extirpation of thirty-two subdural hematomas(CSDH)including the capsule are reported.Theclinical data of this group showed the occurrenceof CSDH depended mainly on the point of impactand strength external force.The inner andexternal surface of the capsules and the originalpart of CSDH were studied pathologically.Repeatedor intermittent bleeding through the originalmicrovessels of the membranes over the parietaland fronal area were found.Numerous microvascular-ization accompanied by bleeding,thrombosisand organnization of thrombus in the inner wallobserved under the electron microscope.
出处
《中华神经外科杂志》
CSCD
北大核心
1991年第2期112-114,I005,共4页
Chinese Journal of Neurosurgery
