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妇女在妊娠,分娩和产褥期并发脑血管意外并非罕见,Гусэв观察461340次分娩,共发生脑血管意外270例。妊娠期脑血管病的临床过程和处理方法有一定特殊性;同时对产妇、胎儿以及产科处理也有一定影响。神经内、外科和妇产科医生应通力合作,兼顾母婴安全,方能选择正确的诊治方案。一,蛛网膜下腔出血(SAH)妊娠期 SAH 是一种致死性并发症,发生率为1/2700～8700次妊娠,在先兆子痫的孕妇中发生率更高。Robinson 报告自发性 SAH1799例中孕妇占26例。妊娠期 SAH 的病因主要是颅内动脉瘤(IAA)和脑动静脉畸形(AVM),两者发生率大致相等,其它原因引起者较少见。
It is not uncommon for women to have cerebrovascular accidents during pregnancy, childbirth and puerperium. In 461340 births, Γусэв observed 270 cases of cerebrovascular accidents. Clinical course of cerebrovascular disease during pregnancy and treatment has a certain particularity; the same time, maternal, fetal and obstetric treatment also have some impact. Neurological, surgical and obstetricians and gynecologists should work together to ensure the safety of mothers and children before they can choose the right diagnosis and treatment options. First, subarachnoid hemorrhage (SAH) SAH during pregnancy is a fatal complication, the incidence of 1/2700 ~ 8700 pregnancies, pregnant women in pre-eclampsia a higher incidence. Robinson reports 26% of pregnant women in 1799 cases of spontaneous SAH. The main causes of SAH during pregnancy are intracranial aneurysms (IAA) and cerebral arteriovenous malformations (AVM), the incidence of both roughly equal, other causes are less common.