出血性脑卒中hemorrhagicapoplexy,中南大学湘雅医院神经内科谷文萍WenpingGu,MD.PhD.NeurologyDepartment,XiangyaHospital,centralsouthUniversity,脑出血cerebralhemorrhage,脑出血cerebralhemorrhage,是指原发性非外伤性脑实质内出血80%以上由高血压性脑内细小动脉病变引起,固又称高血压动脉硬化性脑出血发病率高，占全部脑卒中2030Hypertensionisthemostcommonunderlyingcauseofnontraumaticintracerebralhemorrhage,病因与发病机制etiopathogenisisandpathogenesy,高血压性脑内细小动脉硬化高血压性脑动脉硬化时可有脑内细小动脉透明变性、纤维素样坏死，病变管壁在血流冲击下形成微动脉瘤hypertensionappearstopromotestructuralchangesincludinglipohyalinosis,fibrinoidnecrosisandmicro
