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失禁症是指非随意的或不能控制的排尿或排便,它比一般想象的更为常见,并且随着人口平均年龄的增长而增加。作者通过13年余在3个医疗中心的连续观察,在1238例尸检病人中选出44例双侧壳核损害者作为病例组,44名无壳核损害者作为对照组。双侧壳核损害根据大体和显微镜下改变分为三度。壳核变性自轻至重表现为软化灶、脱色、出血性梗塞和明显空腔。显微镜下Ⅰ°损害表现为:筛孔状态、神经无缺失和轻度神经胶质增生。Ⅱ°和Ⅲ°在镜下检查表现了相应更严重的异常。根据严重程度将失禁症分为5度。0度:没有明确失禁;Ⅰ度:一次失禁,2度:不同2天中有失禁;3度,有3～4天的尿失禁;4度:失禁4天以上;5度:住院时带有尿管或失禁后很快放置尿管的患者。双侧壳核损害的
Incontinence refers to involuntary or uncontrollable urination or defecation, which is more common than generally thought and increases as the average age of the population increases. By continuous observation for more than 13 years in three medical centers, the authors selected 44 cases of bilateral nucleocapsids as the case group and 44 cases of non-nucleated lesions as the control group among 1238 autopsy patients. Both sides of the putamen damage according to the general and microscope changes are divided into three degrees. Shells degeneration from mild to severe manifestations of softening, bleaching, hemorrhagic infarction and obvious cavity. I ° under microscope damage manifested as: the state of the mesh, no loss of nerve and mild glial hyperplasia. Examination of the II ° and III ° under the microscope showed correspondingly more severe abnormalities. According to the severity of incontinence is divided into 5 degrees. 0 degrees: no specific incontinence; degree: incontinence, 2 degrees: incontinence in 2 different days; 3 degrees, 3 to 4 days of incontinence; 4 degrees: incontinence for more than 4 days; Urine or catheter placed incontinence soon after catheterization. Damage to bilateral putamen