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目的总结妊娠相关脑卒中合并脑疝的临床特点,以提高对本病的认识。方法回顾性分析2004年1月至2007年11月收治的妊娠及产后6个月内妊娠相关脑卒中合并脑疝5例患者的临床资料。结果5例妊娠相关脑卒中合并脑疝者,确诊脑出血1例,脑动静脉畸形伴脑出血1例,颅内静脉窦血栓形成1例,颅内静脉窦血栓形成或侧裂静脉及Labbe静脉血栓形成伴脑出血2例。3例围生儿或胎儿存活,2例死亡。结论当孕产妇出现神经症状及体征时,临床医师应考虑脑卒中的可能,急行CT、MRI、血管造影检查确诊,及时手术以挽救母婴生命。
Objective To summarize the clinical features of pregnancy associated stroke and hernia in order to improve the understanding of this disease. Methods The clinical data of 5 patients with pregnancy-related stroke and herniation during pregnancy and within 6 months postpartum from January 2004 to November 2007 were retrospectively analyzed. Results Five cases of pregnancy-related stroke with cerebral hernia were diagnosed as cerebral hemorrhage in 1 case, cerebral arteriovenous malformation with cerebral hemorrhage in 1 case, intracranial venous sinus thrombosis in 1 case, intracranial venous sinus thrombosis or lateral fissure vein and Labbe vein Thrombosis with cerebral hemorrhage in 2 cases. 3 cases of perinatal or fetal survival, 2 patients died. Conclusion When pregnant women with neurological symptoms and signs, clinicians should consider the possibility of stroke, emergency CT, MRI, angiography confirmed diagnosis, timely surgery to save the lives of mothers and children.