Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 729-C, Boston, MA 02114, USA.
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 729-C, Boston, MA 02114, USA.
Obstet Gynecol Clin North Am. 2021 Mar;48(1):75-96. doi: 10.1016/j.ogc.2020.11.004.
Pregnancy confers a substantially increased risk of stroke, especially during the third trimester and until 6 weeks postpartum. Hypertensive disorders of pregnancy and gestational hypercoagulability are important contributors to obstetric stroke. Preeclampsia and eclampsia confer risk for future cardiovascular disease. Hemorrhagic stroke is the most common type of obstetric stroke. Ischemic stroke can result from cardiomyopathy, paradoxical embolism, posterior reversible encephalopathy, reversible cerebral vasoconstriction syndrome, and dissections. Cerebral venous sinus thrombosis is a frequent complication of pregnancy.
妊娠大大增加了中风的风险，特别是在妊娠晚期和产后 6 周内。妊娠高血压疾病和妊娠期高凝状态是产科中风的重要原因。子痫前期和子痫会增加未来患心血管疾病的风险。出血性中风是产科中风最常见的类型。缺血性中风可由心肌病、矛盾栓塞、可逆性后部脑病、可逆性脑血管收缩综合征和夹层引起。脑静脉窦血栓形成是妊娠的常见并发症。
