advanced clinical practitioner, Emergency Department, Countess of Chester Hospital NHS Foundation Trust, Chester, England.
Emerg Nurse. 2022 Mar 1;30(2):27-31. doi: 10.7748/en.2021.e2115. Epub 2021 Oct 26.
The increased risk of stroke during pregnancy and the puerperium - defined as being the first six weeks post-partum - has been well documented. The incidence, however, is still very low and has been estimated at 30 per 100,000 pregnancies. Strokes can result from several causes, including ischaemia, intracerebral bleeds, subarachnoid bleeds and venous thrombosis. Cerebral venous thrombosis (CVT) - a complete or partial occlusion of the major cerebral venous sinuses or cortical veins - accounts for 27%-57% of all pregnancy and puerperium-related strokes, which would equate to an incidence of 8-16 episodes per 100,000 deliveries. This article discusses the case of a young woman who presented to the emergency department complaining of bilateral eye pain. It considers the causes, the variability of presenting symptoms, diagnosis and treatment options for CVT. Given the variability of the condition's presentation, this article aims to assist nurses in identifying at-risk patients and promotes the benefits of collaboration with colleagues to improve patient outcomes.
妊娠和产褥期（定义为产后的前六周）期间中风的风险增加已得到充分证实。然而，其发病率仍然非常低，估计为每 10 万例妊娠 30 例。中风可能由多种原因引起，包括缺血、脑内出血、蛛网膜下腔出血和静脉血栓形成。脑静脉血栓形成（CVT）——大脑主要静脉窦或皮质静脉的完全或部分闭塞——占所有妊娠和产褥期相关中风的 27%-57%，这相当于每 10 万分娩中有 8-16 例。本文讨论了一位年轻女性的病例，她因双眼疼痛到急诊科就诊。本文考虑了 CVT 的病因、临床表现的可变性、诊断和治疗选择。鉴于该病的临床表现存在多样性，本文旨在帮助护士识别高危患者，并促进与同事合作的益处，以改善患者的结局。
