目前对振动病的病理学知识还很不足,过去看到的不过是某些病例报告和动物实验方面的材料。作者将一例相当于安德烈娃·哥拉尼娜分类Ⅱ_b振动病患者的病理解剖情况,简要报告如下。患者53岁,男性,从1964年到1974年在林区使用链锯从事伐木工作,累计作业时间约6,000小时。1969年起感到手部发冷、手指麻木和感觉异常,1974年皮肤温和,脉搏出现异常,手指钝麻,被诊断为振动病。此外未出现雷诺氏现象,但合并有高血压,和左心室肥大。以后调做其他工作,停止使用链锯,并进行门诊和住院治疗。1977年5月因脑动脉瘤破裂, At present, the pathological knowledge of vibration sickness is still not enough. What we have seen in the past is only some case reports and animal experiments. The authors present an example of the pathological anatomy that corresponds to the Andriva-Gora Nina classification of patients with II_b vibration, briefly reported below. The patient, 53 years old, males, used logging saws in the woods from 1964 to 1974 for a total of about 6,000 hours of work. Feeling cold and hand numbness and feeling abnormal since 1969, the skin was mild in 1974, the pulse was abnormal, and the blunt fingers were diagnosed as vibration sickness. In addition there is no Raynaud’s phenomenon, but with hypertension, and left ventricular hypertrophy. After doing other work, stop using chain saws, and outpatient and inpatient treatment. May 1977 due to cerebral aneurysm rupture,