Chinese Medical Sciences Journal ›› 2018, Vol. 33 ›› Issue (4): 267-271.doi: 10.24920/31806

• 病例报告 • 上一篇    

一例妊娠早期合并脑静脉窦血栓女性成功中期引产的报道

张雪芳1,张震宇1,*(),李楠2   

  1. 1 首都医科大学附属北京朝阳医院 妇产科,北京 100050
    2首都医科大学附属北京朝阳医院 放射科,北京 100050
  • 收稿日期:2017-11-26 接受日期:2018-01-03 出版日期:2018-12-30 发布日期:2019-01-10
  • 通讯作者: 张震宇 E-mail:zhenyuzhang2012@163.com

An Early Pregnant Chinese Woman with Cerebral Venous Sinus Thrombosis Succeeding in Induction of Labor in the Second Trimester

Zhang Xuefang1,Zhang Zhenyu1,*(),Li Nan2   

  1. 1Department of Gynaecology and Obstetrics, Capital Medical University, Beijing 100020, China
    2Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2017-11-26 Accepted:2018-01-03 Online:2018-12-30 Published:2019-01-10
  • Contact: Zhang Zhenyu E-mail:zhenyuzhang2012@163.com

摘要:

女性妊娠早期合并脑静脉窦血栓(Cerebral venous sinus thrombosis, CVST)非常罕见。本文报道了一名在孕10周时要求人工流产,却因严重头痛伴恶心呕吐,经系列检查被诊断为CVST的22岁中国女性患者。患者经抗凝治疗后疾病缓解,最终成功进行了羊膜腔穿刺安全完成中期引产。本文对此罕见病例的诊断、治疗和预后进行了讨论。

关键词: 脑静脉窦血栓, 早孕期, 抗凝治疗, 羊膜腔穿刺, 引产

Abstract:

Cerebral venous sinus thrombosis (CVST) is a rare condition in early pregnancy. A 22-year-old Chinese woman at 10 weeks of pregnancy requested induced abortion and was diagnosed as CVST for a severe headache accompanying with nausea and vomiting. The patient was treated successfully with anticoagulation, followed by amniocentesis, and finally succeeded in induction of labor safely. The diagnosis, treatment and prognosis for this rare condition are discussed in this paper.

Key words: cerebral venous sinus thrombosis, early pregnancy, anticoagulation, amniocentesis, induction of labor

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