Cauldwell Matthew, Rudd Anthony, Nelson-Piercy Catherine
Obstetrics, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Kings College London, London, UK.
Eur Stroke J. 2018 Sep;3(3):227-236. doi: 10.1177/2396987318769547. Epub 2018 Apr 12.
Stroke continues to be one of the main causes of death in the developed countries and the incidence in pregnancy appears to be increasing. Pregnancy-related stroke has a relatively high mortality rate of 10% and so clinicians need to be mindful of appropriate investigations and referral of a pregnant woman with suspected stroke, so they can receive timely treatment. In this review we address the risk factors associated with stroke, diagnosis and appropriate management of the different stroke types. We also discuss implications for care around pregnancy and delivery as well as reviewing how a pregnancy with previous stroke should be managed.
中风仍然是发达国家主要的死亡原因之一,而且在孕期的发病率似乎正在上升。与妊娠相关的中风死亡率相对较高,为10%,因此临床医生需要留意对疑似中风的孕妇进行适当的检查和转诊,以便她们能够得到及时治疗。在本综述中,我们阐述了与中风相关的危险因素、不同类型中风的诊断和适当管理。我们还讨论了妊娠和分娩前后护理的相关问题,并回顾了既往有中风史的孕妇应如何管理。