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本文引用的文献

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Successful hybrid endovascular treatment for refractory cerebral venous sinus thrombosis in pregnancy: A case report.成功的杂交血管内治疗妊娠合并难治性脑静脉窦血栓形成:一例报告。
Heliyon. 2023 Nov 11;9(11):e22262. doi: 10.1016/j.heliyon.2023.e22262. eCollection 2023 Nov.
2
Venous Thromboembolism in Pregnancy: Challenges and Solutions.妊娠期静脉血栓栓塞症:挑战与解决方案。
Vasc Health Risk Manag. 2023 Jul 20;19:469-484. doi: 10.2147/VHRM.S404537. eCollection 2023.
3
Cerebral venous sinus thrombosis in pregnancy and puerperium: A comprehensive review.妊娠期和产褥期的脑静脉窦血栓形成:一项全面综述。
Brain Circ. 2022 Dec 6;8(4):180-187. doi: 10.4103/bc.bc_50_22. eCollection 2022 Oct-Dec.
4
Pregnancy and Childbirth in Women With Idiopathic Intracranial Hypertension.特发性颅内高压女性的妊娠与分娩
Cureus. 2022 Oct 18;14(10):e30420. doi: 10.7759/cureus.30420. eCollection 2022 Oct.
5
Endovascular Treatment of Intracranial Vein and Venous Sinus Thrombosis-A Systematic Review.颅内静脉和静脉窦血栓形成的血管内治疗——一项系统评价
J Clin Med. 2022 Jul 20;11(14):4215. doi: 10.3390/jcm11144215.
6
Thrombophilia testing: A British Society for Haematology guideline.血栓形成倾向检测:英国血液学学会指南
Br J Haematol. 2022 Aug;198(3):443-458. doi: 10.1111/bjh.18239. Epub 2022 May 29.
7
Managing idiopathic intracranial hypertension in pregnancy: practical advice.妊娠合并特发性颅内高压的管理:实用建议。
Pract Neurol. 2022 Aug;22(4):295-300. doi: 10.1136/practneurol-2021-003152. Epub 2022 Apr 21.
8
Cerebral venous sinus thrombosis in pregnancy: A case report.妊娠期脑静脉窦血栓形成:一例报告。
World J Clin Cases. 2022 Jan 7;10(1):309-315. doi: 10.12998/wjcc.v10.i1.309.
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Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review.妊娠期特发性颅内高压的多学科管理:病例系列及叙述性综述
Braz J Anesthesiol. 2022 Nov-Dec;72(6):790-794. doi: 10.1016/j.bjane.2021.02.030. Epub 2021 Mar 20.
10
Using anti-Xa level for adjusting intravenous unfractionated heparin infusion in peripartum thromboembolic disease.使用抗Xa水平调整围产期血栓栓塞性疾病患者静脉普通肝素输注剂量
Obstet Med. 2019 Sep;12(3):146-150. doi: 10.1177/1753495X18772993. Epub 2018 May 17.

一名患有急性脑静脉窦血栓形成的孕妇经阴道分娩时的产时抗凝管理。

Intrapartum management of anticoagulation in a pregnant woman with acute cerebral venous sinus thrombosis undergoing vaginal delivery.

作者信息

Park Esther, Dhanjal Mandish, Gupta Sahana, Millar Carolyn, Primrose Naomi, Sodhi Vinnie, Frise Charlotte

机构信息

The de Swiet Centre for Obstetric Medicine, Queen Charlotte's and Chelsea Hospital, Imperial college Healthcare NHS Trust, London, UK.

Integrated Medicine, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.

出版信息

Obstet Med. 2025 Jul 31:1753495X251361665. doi: 10.1177/1753495X251361665.

DOI:10.1177/1753495X251361665
PMID:40756943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313600/
Abstract

Cerebral venous sinus thrombosis (CVST) is a neurological emergency caused by occlusion of the dural venous sinus and/or the cerebral veins. It is more common in women during pregnancy and puerperium. Described here is a woman with an expanding CVST diagnosed at 36 weeks of gestation who had a successful vaginal delivery at 38 weeks of gestation with meticulous anticoagulation and labour management, multidisciplinary team input and close monitoring.

摘要

脑静脉窦血栓形成(CVST)是一种由硬脑膜静脉窦和/或脑静脉闭塞引起的神经急症。它在妊娠和产褥期的女性中更为常见。本文描述了一名在妊娠36周时被诊断为CVST且病情不断发展的女性,她在妊娠38周时成功进行了阴道分娩,期间进行了细致的抗凝治疗和分娩管理,多学科团队参与并进行了密切监测。