Younker D, Jones M M, Adenwala J, Citrin A, Joyce T H
Anesth Analg. 1986 Oct;65(10):1007-12.
Maternal cortical vein thrombosis is a potentially fatal complication of pregnancy and the puerperium. Patients may present with focal neurologic deficits, seizures, or symptoms indicating increased intracranial pressure. Associated conditions include maternal dehydration and preeclampsia or frank eclampsia. Parturients may require anesthesia for various types of delivery. Safe administration of appropriate anesthesia must take into account the possible presence of a coagulopathy or reduced intracranial compliance. Case presentations, a literature review, possible pathogenetic mechanisms, and specific anesthetic considerations are discussed to enable the obstetric anesthesiologist to develop a rational plan of management.
孕产妇皮质静脉血栓形成是妊娠和产褥期一种潜在的致命并发症。患者可能出现局灶性神经功能缺损、癫痫发作或提示颅内压升高的症状。相关情况包括孕产妇脱水和先兆子痫或子痫。产妇可能因各种分娩类型而需要麻醉。安全给予适当麻醉必须考虑到可能存在的凝血功能障碍或颅内顺应性降低。本文讨论了病例报告、文献综述、可能的发病机制以及具体的麻醉注意事项，以使产科麻醉医生能够制定合理的管理计划。
