[1]于　荣,王凤英,丁建平.妊娠合并中枢神经系统感染10例临床分析[J].新乡医学院学报,2016,33(8):707-709.[doi:10.7683/xxyxyxb.2016.08.016]
　YU Rong,WANG Feng-ying,DING Jiang-ping.Clinical analysis of pregnancy complicated with central nervous system infection in ten cases[J].Journal of Xinxiang Medical University,2016,33(8):707-709.[doi:10.7683/xxyxyxb.2016.08.016]
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妊娠合并中枢神经系统感染10例临床分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年8
页码:
707-709
栏目:
临床研究
出版日期:
2016-07-27

文章信息/Info

Title:
Clinical analysis of pregnancy complicated with central nervous system infection in ten cases
作者:
于　荣1; 王凤英1; 丁建平2
（1.首都医科大学附属宣武医院妇产科，北京　100053；2.首都医科大学附属宣武医院神经内科，北京　100053）
Author(s):
YU Rong1; WANG Feng-ying1; DING Jiang-ping2
（1.Department of Obstetrics and Gynecology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;2.Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China）
关键词:
中枢神经系统; 感染; 脑脊液; 妊娠
Keywords:
central nervous system; infection; cerebrospinal fluid; pregnancy
分类号:
R714.259
DOI:
10.7683/xxyxyxb.2016.08.016
文献标志码:
A
摘要:
目的　总结妊娠合并中枢神经系统（CNS）感染患者的临床特征、影像学改变和脑脊液特点，探讨妊娠合并CNS感染的孕期诊断及治疗方法。方法　回顾性分析2010年1月至2015年1月在首都医科大学附属宣武医院检查并治疗的10例妊娠合并CNS感染患者的临床资料，分析其孕期诊断、治疗、分娩及产后管理。结果　10例妊娠合并CNS感染患者，初产妇9例，经产妇1例；年龄21～33岁，发病孕周为8+～34周，妊娠期间死亡1例，合并妊娠期糖尿病1例，胎膜早破1例，早产1例。全身麻醉下行子宫下段剖宫产术4例，自然分娩1例，人工流产2例,中期引产2例。5例新生儿存活。结论　妊娠合并CNS感染一旦发生，会危及生命中枢，病死率及致残率很高，严重威胁母婴生命安全；但在产科医生、神经外科、神经内科、儿科及麻醉科医师的密切协作下，能最大限度地争取良好的妊娠结局。
Abstract:
Objective　To summarize the clinical features,imaging and cerebrospinal fluid characteristics of several cases of pregnancy complicated with central nervous system infection,and to discussion the diagnosis and treatment of pregnancy complicated with central nervous system infection during pregnancy.Methods　The clinical data of ten cases of pregnancy complicated with central nervous system infection in Xuanwu Hospital,Capital Medical University from Janurary 2010 to Janurary 2015 were analyzed retrospectively. The diagnosis and treatment during pregnancy,childbirth and postnatal management were disscussed.Results　There were 9 cases of primipara and 1 case of maternal in the 10 cases of pregnancy complicated with central nervous system infection.The age of them was 21-33 years old.Incidence of gestational week was 8+-34 weeks.One case died during pregnancy，one patient combined with gestational diabetes mellitus，one case was premature rupture of membra,one case was induction of labour in second trimester.Five cases of neonatus survived.Conclusion　Once pregnancy complicated with central nervous system infection occured，its clinical manifestations is critically,the rate of mortality and disability is high,it has serious threat to maternal and child safety.But under the effort of the obstetricians,neurosurgery,neurology,pediatric anesthesiologists,good pregnancy outcomes will be had.

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更新日期/Last Update: 2016-08-05