切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2018, Vol. 07 ›› Issue (02) : 100 -103. doi: 10.3877/cma.j.issn.2095-3259.2018.02.009

所属专题: 文献

专家论坛

围产期脑血管疾病致颅内压升高的早期诊断与治疗
房纯1, 王凤英1,()   
  1. 1. 100053 首都医科大学宣武医院妇产科
  • 收稿日期:2018-01-15 出版日期:2018-05-18
  • 通信作者: 王凤英

Early identification and diagnosis of perinatal intracranial pressure elevation

Chun Fang1, Fengying Wang1()   

  • Received:2018-01-15 Published:2018-05-18
  • Corresponding author: Fengying Wang
引用本文:

房纯, 王凤英. 围产期脑血管疾病致颅内压升高的早期诊断与治疗[J]. 中华产科急救电子杂志, 2018, 07(02): 100-103.

Chun Fang, Fengying Wang. Early identification and diagnosis of perinatal intracranial pressure elevation[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2018, 07(02): 100-103.

围产期任何严重危及孕产妇神经系统损伤的并发症都可以引起颅内压升高。围产期颅内压升高是一种比较少见的临床综合征。本文重点阐述由脑血管疾病导致围产期颅内压升高的高危因素、临床表现及诊治,以期为该疾病的临床诊治提供参考依据。

Any perinatal complication that seriously endangers the maternal′s nervous system damage can cause increased intracranial pressure (ICP). ICP is an infrequent clinical syndrome. This paper elaborates the risk factors, clinical manifestations and treatment of ICP, which is in order to provide reference for the clinical diagnosis and treatment of this disease.

[1]
Ziai WC, Tuhrim S, Lane K, et al. A multicenter, randomized, double-blinded, placebo-controlled phase III study of Clot Lysis Evaluation of Accelerated Resolution of Intraventricular Hemorrhage (CLEAR III) [J]. Int J Stroke, 2014, 9(4): 536-542.
[2]
Kaye AH. Brain Tumors: An Encyclopedic Approach [M]. 2nd ed. Churchill Livingstone: New York, 2001: 205.
[3]
James AH, Bushnell CD, Jamison MG, et al. Incidence and risk factors for stroke in pregnancy and the puerperium [J]. Obstet Gynecol, 2005, 106(3): 509-516.
[4]
Davie CA, O′Brien P. Stroke and pregnancy [J]. Neurol Neurosurg Psychiatry, 2008, 79(3): 240-245.
[5]
Kittner SJ, Stern BJ, Feeser BR, et al. Pregnancy and the risk of stroke[J]. N Engl J Med, 1996, 335(11): 768-774.
[6]
Sharshar T, Lamy C, Mas JL. Incidence and causes of strokes associated with pregnancy and puerperium. A study in public hospitals of Ile de France. Stroke in Pregnancy Study Group [J]. Stroke, 1995, 26(6): 930-936.
[7]
Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis [J]. Stroke, 2000, 31(6):1274-1282.
[8]
Petitti DB, Sidney S, Quesenberry CP Jr, et al. Incidence of stroke and myocardial infarction in women of reproductive age [J]. Stroke 1997, 28(2): 280-283.
[9]
Kamel H, Navi BB, Sriram N, et al. Risk of a thrombotic event after the 6-week postpartum period [J]. N Engl J Med, 2014, 370(14): 1307-1315.
[10]
Ros HS, Lichtenstein P, Bellocco R, et al. Pulmonary embolism and stroke in relation to pregnancy: how can high-risk women be identified?[J]. Am J Obstet Gynecol, 2002, 186(2):198-203.
[11]
Mas JL, Lamy C. Stroke in pregnancy and the puerperium [J]. Neurol, 1998, 245(6-7): 305-313.
[12]
Feske SK. Stroke in pregnancy [J]. Semin Neurol, 2007, 27(5): 442-452.
[13]
Marik PE, Plante LA. Venous thromboembolic disease and pregnancy [J]. N Engl J Med, 2008, 359(19): 2025-2033.
[14]
Greer IA. Thrombosis in pregnancy: maternal and fetal issues [J]. Lancet, 1999, 353(9160):1258-1265.
[15]
Covarrubias DJ, Luetmer PH, Campeau NG. Posterior reversible encephalopathy syndrome: prognostic utility of quantitative diffusion-weighted MR images [J]. AJNR Am J Neuroradiol, 2002, 23(6):1038-1048.
[16]
Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association [J]. Stroke, 2011, 42(4):1158-1192.
[17]
Bushnell C, McCullough LD, Awad IA, et al. Guidelines for the prevention of stroke in women: a statement for healthcare professionals from the American Heart Association/American Stroke Association [J]. Stroke, 2014, 45(5):1545-1488.
[18]
Leffert LR, Clancy CR, Bateman BT, et al. Treatment patterns and short-term outcomes in ischemic stroke in pregnancy or postpartum period [J]. Am J Obstet Gynecol, 2016, 214(6): 723.e1-723.e11.
[19]
Qaiser R, Black P. Neurosurgery in pregnancy [J]. Semin Neurol, 2007, 27(5):476-481.
[20]
Tarnaris A, Haliasos N, Watkins LD. Endovascular treatment of ruptured intracranial aneurysms during pregnancy: is this the best way forward? Case report and review of the literature[J]. Clin Neurol Neurosurg, 2012, 114(6): 703-706.
[21]
Pumar JM, Pardo MI, Carreira JM, et al. Endovascular treatment of an acutely ruptured intracranial aneurysm in pregnancy: report of eight cases [J]. Emerg Radiol, 2010, 17(3): 205-207.
[22]
Meyers PM, Halbach VV, Malek AM, et al. Endovascular treatment of cerebral artery aneurysms during pregnancy: report of three cases [J]. AJNR Am J Neuroradiol, 2000, 21(7):1306-1311.
[23]
Piotin M, de Souza Filho CB, Kothimbakam R, et al. Endovascular treatment of acutely ruptured intracranial aneurysms in pregnancy [J]. Am J Obstet Gynecol, 2001, 185(5):1261-1262.
[24]
Stoodley MA, Macdonald RL, Weir BK. Pregnancy and intracranial aneurysms [J]. Neurosurg Clin N Am, 1998(3), 9: 549-556.
[1] 魏双双, 张治芬, 李鼎恒, 黄坚, 金雪静. 剖宫产瘢痕处双胎异位妊娠患者诊治研究并文献复习[J]. 中华妇幼临床医学杂志(电子版), 2021, 17(04): 453-458.
[2] 张馨月, 韩帅, 张舒石, 李文臣, 张舒岩. 颅内压监测技术在创伤性颅脑损伤治疗中的应用[J]. 中华神经创伤外科电子杂志, 2023, 09(04): 246-252.
[3] 张付意, 侯现增, 汪建军, 辛涛. 有创颅内压监测靶向管控在重型颅脑损伤患者围术期应用价值分析[J]. 中华神经创伤外科电子杂志, 2022, 08(05): 298-301.
[4] 魏宜功, 周焜, 陈光唐, 王诚, 刘窗溪. 颅内压监测下改良阶梯减压法结合去骨瓣减压治疗颅内高压的疗效分析[J]. 中华神经创伤外科电子杂志, 2022, 08(01): 28-33.
[5] 何鑫, 武秀权, 费舟, 费霏. 与视器相关的无创颅内压监测[J]. 中华神经创伤外科电子杂志, 2021, 07(06): 372-375.
[6] 管诚, 沈剑虹, 管义祥, 陈建静. 标准大骨瓣减压结合腰大池持续引流术对重型颅脑损伤的疗效与预后的影响[J]. 中华神经创伤外科电子杂志, 2021, 07(05): 281-287.
[7] 程岗, 李彦腾, 魏铂沅, 王淑为, 刘帅, 刘邦鑫, 刘亚楠, 张剑宁. 不同海战环境爆炸后比格犬颅内外压力变化特点的实验研究[J]. 中华神经创伤外科电子杂志, 2021, 07(01): 6-11.
[8] 阳建国, 钟兴明, 吴利平. 颅内压监测下控制性减压联合预缝式关颅在重型颅脑损伤手术中的作用探讨[J]. 中华神经创伤外科电子杂志, 2020, 06(05): 265-269.
[9] 曹炜, 王翠雪, 徐珊珊, 袁媛, 张琳琳, 周建新. 不同头高位对aSAH患者术后颅内压及脑灌注压的影响[J]. 中华重症医学电子杂志, 2022, 08(02): 121-125.
[10] 刘政委, 仪立志, 尹夕龙, 孔文龙, 纠智松, 张文源. 锥颅血肿外引流与神经内镜手术治疗老年基底节区高血压性脑出血的疗效分析[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(05): 299-303.
[11] 王煜泽, 高文文, 杨磊, 赵海康. 无创监测技术在脑水肿应用的研究进展[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(02): 113-117.
[12] 陈晨, 徐宏, 李政, 韩杨云. 脑室内颅内压监测在重型颅脑损伤患者围术期的应用研究[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(03): 146-151.
[13] 曾华华, 孙雯, 高美鸳, 贺芳. 妊娠晚期子宫扭转一例并文献复习[J]. 中华产科急救电子杂志, 2022, 11(03): 158-164.
[14] 李瑞瑞, 黄楚君, 龚景进, 贺芳. 新生儿窒息产前产时危险因素分析[J]. 中华产科急救电子杂志, 2022, 11(02): 94-98.
[15] 王松, 王志坚. 妊娠合并糖尿病酮症酸中毒的识别和处理[J]. 中华产科急救电子杂志, 2021, 10(01): 31-35.
阅读次数
全文


摘要