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与子痫相关的孕产妇脑血流变化。

Maternal cerebral blood flow changes associated with eclampsia.

作者信息

Williams K P, Wilson S

机构信息

University of British Columbia, Department of Obstetrics and Gynaecology, Vancouver, Canada.

出版信息

Am J Perinatol. 1995 May;12(3):189-91. doi: 10.1055/s-2007-994449.

DOI:10.1055/s-2007-994449
PMID:7612093
Abstract

To determine whether there is a difference in middle cerebral blood flow velocity in eclampsia compared to a match control of severe preeclamptic patients in the peripartum phase. Three eclamptic and six preeclamptic women had maternal middle cerebral blood flow velocity assessed antepartum and at 24 and 48 hours postpartum. We compared the effect of an eclamptic convulsion on cerebral blood flow velocity changes using analysis of variance. Cerebral blood flow velocity was significantly higher in eclamptic than in preeclamptic women (p < 0.01) and rose significantly in the post-convulsive phase. Cerebral blood flow velocity was significantly elevated in eclamptic women compared with preeclamptic women in a setting of minimal change in mean arterial pressure.

摘要

为确定子痫患者与重度子痫前期患者围产期匹配对照相比,大脑中动脉血流速度是否存在差异。对3例子痫患者和6例重度子痫前期患者在产前、产后24小时和48小时评估母体大脑中动脉血流速度。我们使用方差分析比较子痫抽搐对脑血流速度变化的影响。子痫患者的脑血流速度显著高于重度子痫前期患者(p < 0.01),且在抽搐后阶段显著升高。在平均动脉压变化极小的情况下,子痫患者的脑血流速度与重度子痫前期患者相比显著升高。

相似文献

1
Maternal cerebral blood flow changes associated with eclampsia.与子痫相关的孕产妇脑血流变化。
Am J Perinatol. 1995 May;12(3):189-91. doi: 10.1055/s-2007-994449.
2
Maternal middle cerebral artery velocity changes in HELLP syndrome versus pre-eclampsia.
Ultrasound Obstet Gynecol. 1998 Mar;11(3):195-8. doi: 10.1046/j.1469-0705.1998.11030195.x.
3
Peripartum changes in maternal cerebral blood flow velocity in normotensive and preeclamptic patients.
Obstet Gynecol. 1993 Sep;82(3):334-7.
4
Transcranial assessment of maternal cerebral blood flow velocity in normal VS pre-eclamptic women (variation with maternal posture). A preliminary study.正常孕妇与子痫前期孕妇母体脑血流速度的经颅评估(随母体姿势的变化)。一项初步研究。
J Perinat Med. 1994;22(4):291-4. doi: 10.1515/jpme.1994.22.4.291.
5
Persistence of cerebral hemodynamic changes in patients with eclampsia: A report of three cases.子痫患者脑血流动力学变化的持续性:三例报告
Am J Obstet Gynecol. 1999 Nov;181(5 Pt 1):1162-5. doi: 10.1016/s0002-9378(99)70101-8.
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Transcranial assessment of maternal cerebral blood flow velocity in patients with pre-eclampsia.子痫前期患者母体脑血流速度的经颅评估。
Acta Obstet Gynecol Scand. 1997 Nov;76(10):928-32. doi: 10.3109/00016349709034904.
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Transcranial assessment of maternal cerebral blood flow velocity in normal vs. hypertensive states. Variations with maternal posture.正常与高血压状态下孕妇脑血流速度的经颅评估。随孕妇体位的变化。
J Reprod Med. 1994 Sep;39(9):685-8.
8
Maternal transcranial Doppler in pre-eclampsia and eclampsia.子痫前期和子痫患者的母体经颅多普勒检查
Ultrasound Obstet Gynecol. 2003 May;21(5):507-13. doi: 10.1002/uog.83.
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Maternal cerebral vasospasm in eclampsia assessed by transcranial Doppler.经颅多普勒评估子痫患者的母体脑血管痉挛
Am J Perinatol. 1993 May;10(3):243-4. doi: 10.1055/s-2007-994729.
10
Cerebral haemodynamics in pregnancy and pre-eclampsia as assessed by transcranial Doppler ultrasonography.经颅多普勒超声评估妊娠和子痫前期的脑血流动力学
Br J Anaesth. 2002 Nov;89(5):687-92.

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2
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The value of the middle cerebral to umbilical artery Doppler ratio in the prediction of neonatal outcome in patient with preeclampsia and gestational hypertension.
大脑中动脉与脐动脉多普勒比值在预测子痫前期和妊娠高血压患者新生儿结局中的价值。
J Prenat Med. 2010 Apr;4(2):17-21.