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我们遇到2例产后上矢状窦血栓形成,被误诊为脑出血和产后子痫,后经 CT 检查证实并治愈,报告如下:例1,35岁,5天前分娩时出血较多,6小时前突然言语不清,右侧肢体活动不灵,呕吐,抽风,小便失禁,神志不清,于1987年6月26日以脑出血收入院。查体:血压20/14kPa,贫血貌,中度昏迷,瞳孔直径左侧5mm,右侧3mm,对光反射迟钝,眼底视乳头边界清楚,静脉增粗,口角歪向左侧,无项强,右侧上下肢瘫痪,跌落试验(+),肌张力低,双侧 Babinski 氏征(+)。化验检查:血红蛋白43g/L,白细胞4.8×
We encountered 2 cases of postpartum superior sagittal sinus thrombosis was misdiagnosed as cerebral hemorrhage and postpartum eclampsia, confirmed by CT examination and cured, the report is as follows: Cases 1,35 years old, 5 days before delivery more bleeding, 6 Suddenly a few hours ago, his speech was unclear, his right limb was not active, vomiting, ventilation, incontinence, and unconsciousness. He was admitted to hospital on June 26, 1987 with cerebral hemorrhage. Physical examination: blood pressure 20 / 14kPa, anemic appearance, moderate coma, pupil diameter 5mm left, right 3mm, slow reflection of light, clear ocular fundus boundaries, vein thickening, crooked mouth to the left, Paralysis of the right upper and lower limbs, drop test (+), low muscle tone, bilateral Babinski’s sign (+). Laboratory tests: hemoglobin 43g / L, white blood cells 4.8 ×