论文部分内容阅读
目的探讨妊娠及产褥期不同类型脑血管病的临床表现及影像学特点。方法回顾性分析2003-2013年就诊于中国医科大学附属盛京医院的32例患有脑血管病的孕产妇病例资料,按发病时间分为早中期妊娠组(8例),晚期妊娠组(14例),产褥期组(10例)。分析患者主要临床表现及影像学特点。结果 (1)临床症状:4例发生意识障碍,7例发生局部神经功能缺失,10例发生视物模糊,11例发生恶心呕吐症状。(2)影像学检查结果:脑出血6例,蛛网膜下腔出血1例,脑梗死6例,颅内静脉血栓形成(cerebral venous thrombosis,CVT)7例,可逆性后部白质脑病(reversible posterior leukoencephalopathy syndrome,RPLS)12例。结论妊娠及产褥期脑血管病有不同临床表现,影像学检查可明确病变类型及部位。
Objective To investigate the clinical manifestations and imaging features of different types of cerebrovascular diseases in pregnancy and puerperium. Methods The data of 32 pregnant women with cerebrovascular disease attending Shengjing Hospital affiliated to China Medical University from 2003 to 2013 were retrospectively analyzed. According to the onset time, they were divided into early pregnancy group (8 cases), late pregnancy group (14 cases) Cases), puerperal group (10 cases). Analysis of patients with major clinical manifestations and imaging features. Results (1) Clinical symptoms: disturbance of consciousness occurred in 4 cases, loss of local nerve function in 7 cases, blurred vision in 10 cases and nausea and vomit in 11 cases. (2) Imaging findings: 6 cases of cerebral hemorrhage, 1 case of subarachnoid hemorrhage, 6 cases of cerebral infarction, 7 cases of cerebral venous thrombosis (CVT), reversible posterior white matter disease (reversible posterior leukoencephalopathy syndrome, RPLS) in 12 cases. Conclusions There are different clinical manifestations of cerebrovascular disease in pregnancy and puerperium. Imaging examination can confirm the type and location of lesions.