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妇女在妊娠、分娩、产褥期并发脑血管意外并非罕见。其病因,发病机理,诊治及预后均与常见的高血压动脉硬化性卒中有所不同。我科1987~1990年初收治7例,报导如下。临床资料发病年令:22岁、24岁、26岁各2例,38岁1例。发病时期:妊娠2个月,8个月各1例,分娩期1例,产褥期4例,为产后第2天,第7天,第10天及第16天,以产褥期为多,占妊娠、分娩、产褥期脑血栓的57.1%。起病急的3例,缓慢4例。症状:高血压病1例(有14年高血压史),妊娠高血压1例,头痛4例,癫痫发作3例,运动性失语2例,中枢性面瘫6例,偏瘫6例,四肢瘫1例。实验室检查:腰穿3例中,1
It is not uncommon for women to have cerebrovascular accidents during pregnancy, childbirth, and puerperium. The etiology, pathogenesis, diagnosis and treatment and prognosis of hypertension are common with atherosclerosis stroke are different. Our department from 1987 to early 1990 admitted 7 cases, reported as follows. Clinical data of onset: 22 years old, 24 years old, 26 years old in each 2 cases, 38 years old in 1 case. Incidence of the disease: 2 months of pregnancy, 8 months of 1 case, 1 case of childbirth, 4 cases of puerperal, postpartum 2 days, 7 days, 10 days and 16 days to more puerperium, accounting for pregnancy, Childbirth, puerperium 57.1% of cerebral thrombosis. 3 cases of acute onset, slow 4 cases. Symptoms: 1 case of hypertension (history of 14 years of hypertension), 1 case of pregnancy-induced hypertension, 4 cases of headache, 3 cases of seizures, 2 cases of motor aphasia, 6 cases of central facial paralysis, 6 cases of hemiplegia, example. Laboratory examination: lumbar puncture in 3 cases, 1