Singer J R, Hummelgard A B, Martin E M
J Neurosurg Nurs. 1985 Aug;17(4):230-7. doi: 10.1097/01376517-198508000-00005.
Within the last ten years, twenty pregnant women with ruptured intracranial aneurysms were managed at Los Angeles County-University of Southern California Medical Center. Difficulties encountered in the care of these patients will be illustrated with case studies. In two patients, failure to diagnose subarachnoid hemorrhage delayed management. In another patient, cerebral vasospasm complicated the course. Selection of appropriate diagnostic tests, timing of surgery, importance of fetal monitoring, and method of delivery will be discussed.
在过去十年中，洛杉矶县南加州大学医学中心收治了20例颅内动脉瘤破裂的孕妇。本文将通过病例研究来说明这些患者在护理过程中遇到的困难。在两名患者中，蛛网膜下腔出血的漏诊延误了治疗。在另一名患者中，脑血管痉挛使病程复杂化。本文还将讨论合适诊断测试的选择、手术时机、胎儿监测的重要性以及分娩方式。
