| 妊娠合并神经系统疾病临床诊治分析 |
| 投稿时间：2016-10-13 修订日期：2016-11-01 点此下载全文 |
| 引用本文：袁博,王武亮,邓克红,王志红.妊娠合并神经系统疾病临床诊治分析[J].医学研究杂志,2017,46(6):102-104,120 |
| DOI：
10.11969/j.issn.1673-548X.2017.06.026 |
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| 基金项目:河南省科技攻关项目（201503086） |
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| 中文摘要:目的 探讨妊娠合并神经系统疾病的临床特点、诊治及预防策略。方法 回顾性分析笔者医院2006年1月~2014年1月收治的妊娠合并神经系统疾病患者的资料。结果 8年间，笔者医院共收治19例妊娠合并神经系统疾病患者，其中包括妊娠剧吐并发Wernicke综合征1例，癫痫4例，妊娠合并脑血管病9例，脑肿瘤3例，病毒性脑炎2例。19例患者中有2例孕妇死亡（妊娠剧吐并发Wernicke综合征1例，妊娠高血压疾病并发脑出血1例），存活17例；1例胎儿死亡，4例行引产术（米非司酮+米索前列醇口服药物引产3例，羊膜腔穿刺注射利凡诺引产1例），余围生儿均存活，随访无并发症发生。结论 及时发现、正确诊断妊娠合并神经系统疾病并采取积极、合理的治疗措施，适时、适式终止妊娠，能降低孕妇及胎儿病死率。 |
| 中文关键词:妊娠合并神经系统疾病 诊断 治疗 预防 |
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| Pregnancy with Nervous System Disease:Diagnosis and Treatment |
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| Abstract:Objective To explore the clinical features of pregnancy with nervous system diseases, diagnosis, treatment and prevention strategies. Methods Retrospective analysis in January 2006 to January 2014, pregnancy with nervous system disease patients was performed. Results During eight years, 19 cases of pregnancy with nervous system disease patients in our hospital were included of which there were 1 case of hyperemesis gravidarum concurrent Wernicke's syndrome, 4 cases of epilepsy,9 cases of pregnancy with cerebral vascular disease, 3 cases of brain tumor, 2 cases of viral encephalitis.In 19 patients, 2 cases of pregnant women died death, 17 cases lived. There was 1 case of fetal deaths, 4 routine induction of labor (mifepristone plus misoprostol oral drug induced labor in 3 cases, amniotic cavity puncture injection rivanol induced labor in 1 case). Other fetuses survived. Follow-up so far,there was no complications. Conclusion Timely discovery, correct diagnosis, take active and reasonable treatment measures, and timely,suitable type to terminate the pregnancy can reduce the pregnant women and fetus mortality. |
| keywords:Pregnancy with nervous system disease Diagnosis Treatment Prevention |
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