为了研究脑血管意外患者的死亡原因,将200名死于急性中风患者的临床资料和尸解材料进行分析。中风患者包括有动脉硬化的脑血管疾病病者,由于梗死、出血、栓塞和血栓形成或缺血而突然出现神经系统功能不全的病人,而不包括先天性动脉瘤、动静脉畸形、肿瘤、外伤或血液系统疾患的病人。将患者分为早期死亡和后期死亡两组,发病后一周内死亡者为早期死亡组,一周后死亡者为后期死亡组。结果表明,两组患者无论在神经系统和全身病变方面均有显著的不同。脑出血在早期死亡组较多见,出血进入脑室和蜘蛛膜下腔或脑干者在早期死亡组尤为多见。反之,脑梗死则多见于后期死亡组,大血管血栓形成伴有脑梗死和严重的脑动脉硬化而没有出血或 In order to investigate the cause of death in patients with cerebrovascular accident, clinical data and autopsy material from 200 patients who died of acute stroke were analyzed. Patients with stroke include those with cerebrovascular disease of atherosclerosis, patients with sudden neurological deficits due to infarction, hemorrhage, embolism, and thrombosis or ischemia, excluding congenital aneurysms, arteriovenous malformations, tumors, traumas Or hematological disorders. The patients were divided into two groups: early death and late death, the first death within one week after onset and the later death after one week. The results showed that there was a significant difference between the two groups in terms of both the nervous system and systemic disease. Cerebral hemorrhage in the early death group more common, bleeding into the ventricle and subarachnoid space or brain stem were particularly common in early death group. On the contrary, cerebral infarction is more common in the late death group, large blood vessel thrombosis with cerebral infarction and severe cerebral arteriosclerosis without bleeding or