妊娠相关脑血管病临床分析.pdf

832 Chin J Stroke, Oct 2009, Vol 4, No.10 论著 ・ ・ 妊娠相关脑血管病临床分析 冯碧波，温庭如，翟建军 作者单位 【摘要】 100730 北京市 目的 探讨妊娠相关脑血管病的高危因素、临床表现及母婴结局。 首都医科大学附属北京 方法 收集我院1999年5月至2009年5月收治的7例妊娠相关脑血管病患者（脑出血4例，上矢状窦血 同仁医院妇产科 栓形成3例）的临床资料进行回顾性分析。 通信作者 结果 7例患者中5例伴有重度子 前期/子 ，合并脑血管畸形、肾脏损害、贫血、感染各1例。3例孕 冯碧波 fbb555@ 产妇死亡，1例胎儿死亡。 结论 妊娠相关脑血管病发病危急，子 前期/子 是主要的诱发因素，如诊疗及时，母婴可能获得 较好结局。 【关键词】 妊娠；脑血管意外；子 ；颅内动静脉畸形 Clinical Analysis of Cerebrovascular Diseases Related to Pregnancy FENG Bi-Bo, WEN Ting-Ru, ZHAI Jian-Jun. Department of Obstetric and Gynecology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China 【 】 Abstract Objective To explore the risk factors, clinical features and maternal-fetal outcome with cerebrovascular diseases related to pregnancy. Methods Clinical data of 7 cases with cerebrovascular diseases related to pregnancy were analysed retrospectively in our hospital from May 1999 to May 2009. Results All the patients occurred in the 3rd trimester or puerperium. Among 7 cases, 5 were diagnosed with preeclampsia/eclampsia, including 1 with cerebral vessel malformation, 1 with nephrotic syndrome, 1 with anemia. 1 with infection, among whom, 3 mothers died, 1 fetus died. Conclusion Preeclampsia/eclampsia is the major leading cause of cerebrovascular diseases related to pregnancy. A better outcome will be achieved if the diagnosis and treatment were given in time.