Pollak L, Schiffer J, Leonov Y, Zaidenstein R
Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel.
Isr J Med Sci. 1995 Aug;31(8):489-91.
The clinical, laboratory, radiological and operative recordings of a patient with disseminated intravascular coagulation (DIC) related to therapeutic abortion is reported. During a comatose state following respiratory arrest, anisocoria with right dilated unreactive pupil and decerebration signs appeared. A brain CT scan showed a right frontotemporal hemorrhage. On surgical intervention a subdural hematoma was found and removed. The patient remained in a persistent vegetative state. The rarity of subdural hematoma complicating DIC is presented and the causes of intracranial bleeding in obstetrics are reviewed.
本文报告了一例与治疗性流产相关的弥散性血管内凝血(DIC)患者的临床、实验室、放射学及手术记录。在呼吸骤停后的昏迷状态下,出现了右侧瞳孔散大且无反应性的瞳孔不等大及去大脑强直体征。脑部CT扫描显示右侧额颞叶出血。手术干预时发现并清除了硬膜下血肿。患者一直处于持续性植物状态。文中介绍了DIC并发硬膜下血肿的罕见情况,并对产科颅内出血的原因进行了综述。