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上矢状窦血栓临床表现复杂,起病急,病死率高,易误诊。我院1980年以来,收治25例产后型上矢状窦血栓形成现报告如下: 临床资料 25例患者年龄为20～37岁,其中农村妇女22例、工人2例、教师1例;初产妇7例,经产18例;新法接生5例,旧法接生17例,自然流产1例。产后感染者14例,产前子痫一例。发病时间分别在产后3～40天。均为急性起病。首发症状为头痛、呕吐者16例,突然昏迷、抽搐者4例,偏瘫失语2例;呆滞、精神行为异常2例,腹痛呕吐1例。
Upper sagittal sinus thrombosis complicated clinical manifestations, acute onset, high mortality, easily misdiagnosed. My hospital since 1980, 25 cases of postpartum supraspinous sinus thrombosis are reported as follows: Clinical data 25 patients aged 20 to 37 years, of which 22 were rural women, workers in 2 cases, 1 teacher; primipara 7 Cases, 18 cases of production; the new law in 5 cases, the old law in 17 cases, 1 case of spontaneous abortion. Postpartum infection in 14 cases, prenatal eclampsia in one case. The onset time in postpartum 3 to 40 days. Are acute onset. The first symptom was headache, vomiting in 16 cases, sudden coma, convulsions in 4 cases, hemiplegia aphasia in 2 cases; sluggish, mental disorders in 2 cases, abdominal pain and vomiting in 1 case.