妊娠期高血压疾病合并脑血管疾病的临床观察

目的:探讨妊娠期高血压合并脑血管疾病的发病原因、预防措施以及治疗方案。方法:回顾性分析该院2003～2008年收治的487例妊娠期高血压疾病合并脑血管疾病的临床资料。结果:2003～2008年共收治妊娠期高血压疾病患者2 416例,其中合并脑血管疾病487例(20.16%),包括蛛网膜下腔出血23例,脑出血58例和脑梗死406例。临床症状包括头痛、眩晕、嗜睡、视物模糊、意识障碍、呕吐、抽搐以及肢体感觉或轻度运动障碍;头颅CT或MRI检查后可确诊;及时终止妊娠,解痉降压治疗后,1例产妇死亡,3例胎儿死亡。结论:妊娠时期,积极预防妊娠期高血压疾病,定期监测脑血管的血流情况。合并脑血管疾病时候,应及时行头颅CT检查或MRI确诊,适时终止妊娠,积极治疗,尽量保障母婴的生命安全。

Clinical observation on hypertensive disorder complicating pregnancy combined with cerebrovascular disease

Objective:To explore the causes,preventive measures and therapeutic schedule of hypertensive disorder complicating pregnancy(HDCP) combined with cerebrovascular disease. Methods:The clinical data of 487 cases with HDCP combined with cerebrovascular disease who were treated in the hospital from 2003 to 2008 were analyzed retrospectively. Results:2 416 patients with HDCP were treated in the hospital from 2003 to 2008,and 487 patients were combined with cerebrovascular disease(20.16%),including 23 patients wit...