妊娠合并脑出血20例临床分析  

Clinical Analysis of 20 Cases with Pregnancy Accompanied with Encephalopathy

作　　者：邢风玲[1,2] 高婉丽[1] 

机构地区：[1]首都医科大学附属北京天坛医院妇产科,100050 [2]北京美中宜和妇儿医院

出　　处：《医学研究杂志》2013年第8期143-145,共3页Journal of Medical Research

摘　　要：目的研究妊娠合并脑出血的临床特点及对母婴的影响,探讨妊娠期脑出血的诊断和妊娠结局。方法对1990年1月～2013年1月妊娠期脑出血患者的临床资料进行回顾性分析。结果妊娠合并脑出血患者死亡8例,存活12例,新生儿7例,存活5例。结论妊娠晚期以剖宫产为宜。妊娠期脑出血,发展快,妊娠晚期分娩以剖宫产为宜,定期产前检查,早诊断及时治疗是改善妊娠合并脑出血患者预后的关键。Objective To investigate the clinical characteristics, early diagnosis, preventive and therapeutic methods, and the effects on maternal and infant health of encephalopathy during pregnancy. Methods The clinical data of 20 cases with pregnancy accom- panied with encephalopathy in our hospital from Jan,1990 to Mar 2013 were analysed retrospectively. Results Pregnancy can accelerate the growth or rupture of cerebroma and encephalic angioma. Craniotomy was necessary as soon as possible. Caesarean section was the suitable delivery modus. We should focus on prevention and treatment of post - eclampsia cerebral infarction. As to epilepsy during prega- nancy, the medication should adjust properly according to pathogenetic condition. Conclusion The high rate of misdiagnosis, quick development and high rate of death account for characteristics of encephalopathy during pregnancy. Regular antenatal examination, early diagnosis and just - in - time treatment are critical to improve the prognosis.

关 键 词：妊娠 脑出血 

分 类 号：R473.5[医药卫生—护理学]