剖宫产术后发生蛛网膜下腔出血1例分析  

Analysis of Subarachnoid Hemorrhage After Cesarean Section in A Case

作　　者：曹凡 黄伟 Cao Fan;Huang Wei(Department of Anesthesiology,Sichuan University West China Second University Hospital(Key Laboratory of Birth Defects and Related Diseases of Women and Children,Ministry of Education),Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川大学华西第二医院麻醉科(出生缺陷与相关妇儿疾病教育部重点实验室),四川成都610041

出　　处：《中国社区医师》2023年第17期31-33,共3页Chinese Community Doctors

摘　　要：蛛网膜下腔出血(SAH)是罕见并严重的妊娠并发症,常被误诊为是子痫,延误患者诊治。该研究收治一名26岁先兆临产产妇,在经阴道试产过程中,因突发羊水Ⅲ度中转为剖宫产手术,术中生命体征平稳,术后产妇突发抽搐,1 min后自行停止,约5 min后患者清醒,术后完善相关检查发现为SAH,给予对症支持治疗4 d后,患者生命体征平稳,要求出院。因此,早期识别SAH并与其他疾病鉴别诊断非常重要,是避免延误治疗的关键。Subarachnoid hemorrhage(SAH)is a rare and serious complication of pregnancy.It is often mistaken for eclampsia,resulting in delayed diagnosis and treatment of the patients.This study included a 26-year-old woman with threatened labor.During the trial of labor,the patient was converted to cesarean section due to ClassⅢamniotic fluid.Intraoperative vital signs were stable.After the operation,the patient had sudden convulsions,which stopped spontaneously after 1 min,and the patient was awake after about 5 min.After the operation,relevant examinations were completed and SAH was found.After 4 d of symptomatic and support treatment,the patient's vital signs were stable and the patient required to be discharged.Therefore,early identification of SAH and differential diagnosis with other diseases are very important,and are the key to avoid delayed treatment.

关 键 词：剖宫产 蛛网膜下腔出血 子痫 

分 类 号：R719.8[医药卫生—妇产科学] R743.35[医药卫生—临床医学]