产褥期脑病62例临床分析  

Clinical analysis of 62 cases of encephalopathy during puerperium

作　　者：金梅[1] 林军华[2] 王士列[3] 金辉[2] 

机构地区：[1]第一军医大学南方医院神经内科,广东广州510515 [2]中国人民解放军第171医院,江西九江332000 [3]江西省九江市第一人民医院,江西九江332000

出　　处：《第一军医大学学报》2002年第12期1118-1120,共3页Journal of First Military Medical University

摘　　要：目的研究产褥期脑病的临床特征、治疗方法及预后。方法选择62例产褥期突发精神症状并有全脑受累体征病人的临床资料进行回顾性分析。结果发现产褥期脑病的临床表现酷似病毒性脑炎,但病前无明显感染灶,病程较长,疗效和预后较差。结论对产褥期精神异常病人应进行神经病学方面检查,尽早诊治。病初要控制和缩短脑水肿期,防止和减轻脑细胞的变性和脱鞘;恢复期要耐心而持久地进行各种康复治疗,以便病人恢复到最佳健康水平。Objective To study the clinical features, therapeutic methods and prognosis of encephalopathy during puerperium. Method The clinical data of 62 patients with onset of mental symptoms and signs of extensive cerebral involvement during puerperium were retrospectively analyzed. Results The clinical representations and treatment method of encephalopathy during puerperium were similar to those of viral encephalitis, but the former disease showed no evident signs of infection in the initial stage, with longer course and poorer curative effect and prognosis than viral encephalitis. Conclusion Patients with onset of mental abnormalities during puerperium should receive systemic neurological examination as early as possible for timely diagnoses and treatment. In early stage of the disease, cerebral edema should be brought under control and the duration of edema minimized so as to prevent or alleviate the degeneration and demyelination of the cerebral cells. Prolonged comprehensive rehabilitation treatments are recommended for the patients' optimal recovery in later stages of the disease.

关 键 词：产褥期 脑疾病 病因学 诊断 治疗 病毒性脑炎 肝性脑病 

分 类 号：R714.62[医药卫生—妇产科学]