Eguchi K, Lin Y T, Noda K, Saeki K, Yonezawa M, Sekiba K, Ochiai Y
Acta Med Okayama. 1987 Jun;41(3):117-24. doi: 10.18926/AMO/31761.
Six pregnant women with convulsions between 25 to 40 weeks of gestation were experienced. Among them, 4 patients were diagnosed as having intracranial hemorrhage and two as simple eclampsia. With the aid of brain CT scan, one case of arteriovenous malformation was detected and treated surgically with good prognosis for both the mother and the fetus. Two patients were diagnosed to have cerebral hemorrhage with subsequent penetration into the lateral ventricles and were treated conservatively. Their fetuses were delivered alive by cesarean section, but the mothers expired. The other patient with cerebral hemorrhage was treated surgically, and both the mother and the fetus survived. One of the simple eclampsia patients was noted to have a growth retarded fetus at 32 weeks of pregnancy with subsequent intra-uterine death, but the mother recovered after conservative treatment. Another patient at 40 weeks of pregnancy was also treated conservatively and both the fetus and the mother survived. Brain CT scan findings differed between these two eclampsia patients; local brain edema for the second patient and generalized brain edema for the first patient. Thus more active application of brain CT scan is recommended in managing pregnant patients with convulsions.
我们遇到了6名在妊娠25至40周之间发生惊厥的孕妇。其中，4例被诊断为颅内出血，2例为单纯子痫。借助脑部CT扫描，检测出1例动静脉畸形，并进行了手术治疗，母婴预后良好。2例被诊断为脑出血并随后破入侧脑室，接受了保守治疗。她们的胎儿通过剖宫产存活，但母亲死亡。另1例脑出血患者接受了手术治疗，母婴均存活。1例单纯子痫患者在妊娠32周时被发现胎儿生长受限，随后宫内死亡，但母亲经保守治疗后康复。另1例妊娠40周的患者也接受了保守治疗，胎儿和母亲均存活。这两名子痫患者的脑部CT扫描结果不同；第二名患者为局部脑水肿，第一名患者为全身性脑水肿。因此，建议在处理有惊厥的孕妇时更积极地应用脑部CT扫描。
