Futrell N, Millikan C
Department of Neurology, Creighton University Medical School, Omaha, Nebraska.
Neurol Clin. 1994 Aug;12(3):527-39.
Although neurological manifestations are well described in patients with connective tissue diseases, there is no evidence of increased frequency during pregnancy. Treatment varies with the neurological disorder and the nature of pathogenetic process, with modifications of usual therapies sometimes required during pregnancy. Termination of pregnancy is a consideration only with the more serious vasculitic diseases (i.e., PAN or WG), in patients with cardiac or renal failure, or in patients with severe exacerbations of their systemic disease that is refractory to therapy.
尽管结缔组织病患者的神经学表现已有详尽描述,但尚无证据表明其在孕期的发生率会增加。治疗方法因神经疾病及发病机制的性质而异,孕期有时需要调整常规疗法。仅在患有较为严重的血管炎性疾病(如结节性多动脉炎或韦格纳肉芽肿)、心力衰竭患者、或全身性疾病严重加重且对治疗无效的患者中才考虑终止妊娠。