子前期-子并发脑血管病38例临床和影像学特点  

Clinical and radiographic features of preeclampsia-eclampsia with cerebrovacular disease.

作　　者：王玉萍[1,2] 孙志华[3] 牛秀敏[1] 

机构地区：[1]天津医科大学总医院妇产科,天津300162 [2]武警医学院附属医院,天津300162 [3]天津医科大学总医院放射科,天津300052

出　　处：《中国实用妇科与产科杂志》2008年第11期835-838,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨子前期-子患者并发脑血管疾病的临床和影像学特点。方法采用磁共振对2005年2月至2008年2月在天津医科大学总医院及武警医学院附属医院38例因出现脑病症状的子前期-子患者进行检查,根据检查结果分组,并对患者的临床症状、血压、肝肾功能、血常规、电解质等指标进行回顾性分析。结果磁共振检查异常的患者26例,24例为可复性后部脑病综合征,1例脑梗塞,1例颅内静脉窦血栓形成。磁共振检查异常组与磁共振检查正常组相比,血浆尿酸水平两组间比较差异有统计学意义(t=3.63,P=0.01),其余指标差异无统计学意义。结论磁共振检查显示子前期-子发生脑血管疾病绝大多数为后循环可复性脑病综合征。血尿酸水平可能在监测子前期-子患者发生脑血管疾病中有一定的应用价值。Objective To investigate clinical parameters and specific appearances of magnetic resonance image （MRI） in patients of preeclampsia-eclampsia with cerebrovacular diseases. Methods MRI method was used to classify patients of preeclampsia-eclampsia with neurologic symptoms. Clinical characters including blood pressure, renal and hepatic function, blood routine, and serum electrolytes were analyzed by retrospective investigation. Group T test or Chi sequare method were used in analyzing the data. Results Thirty-eight patients were divided into two groups according to the MRI results in patients of preeclampsia-eclampsia with neurologic symptoms. Among 26 positive patients, 24 patients manifested as posterior reversible encephatopathy syndrome, one cerebral infarction and one sinovenous thrombosis. Compared with normal MRI patients, increased levels of uric acid displayed in abnormal group（t =3. 63,P = 0.01 ）. However, no difference was observed for other idexes. Conclusions Posterior reversible encephalopathy syndrome is the most frequent clinical type in patients of preeclampsia-eclampsia with cerebrovacular diseases, and uric acid can be used in monitoring the risk for cerebrovacular disease in these patients.

关 键 词：子癎前期-子癎 妊娠 可复性后部脑病综合征 

分 类 号：R71[医药卫生—妇产科学]