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[产后脑静脉血栓形成。一例继发于获得性抗凝血酶III缺乏症的病例]

[Postpartum cerebral thrombophlebitis. A case secondary to acquired antithrombin III deficiency].

作者信息

el Kettani C, Miguil M, Mjahed K, Salmi S, Harti A, Barrou L, Benaguida M

机构信息

Service d'Anesthésie-Réanimation, CHU Ibn Rochd, Casablanca, Maroc.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1998 Mar;27(2):197-200.

PMID:9599768
Abstract

The cerebral thrombophlebitis is a rare complication of the pregnancy and the postpartum. We report a case of a 21 year-woman presenting a post-partum cerebral thrombophlebitis, secondary to an acquired deficiency of antithrombin III. The clinical symptoms of cerebral thrombophlebitis can be misleading. The angiography and the magnetic resonance imaging permit the diagnosis. The treatment is relied on anticoagulating heparin therapy. This treatment will be adapted in case of coagulation's factors deficiency that must be searched in any thromboembolic accident having an unusual localization.

摘要

脑静脉血栓形成是妊娠和产后的一种罕见并发症。我们报告一例21岁女性产后发生脑静脉血栓形成的病例,继发于获得性抗凝血酶III缺乏。脑静脉血栓形成的临床症状可能具有误导性。血管造影和磁共振成像有助于诊断。治疗依靠肝素抗凝治疗。对于任何具有不寻常部位的血栓栓塞事件,若存在凝血因子缺乏必须进行检查,则应对该治疗进行调整。

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