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作者报告了妊娠期脑出血4例,出血原因有前交通动脉瘤、小脑动静脉畸形、基底节和脑干出血各1例,平均年龄29.5岁,妊娠初期1例,妊娠后期3例。初产妇2例,经产妇2例。脑出血的发病样式,蛛网膜下腔出血1例(为前交通动脉瘤),脑实质出血3例,这3例在发病时意识都呈昏迷状态,均死亡。以蛛膜下腔出血的1例预后良好。关于胎儿的转归,1例妊娠12周,中断妊娠,32周1例为死产,另2例分娩的胎儿存活。施行脑外科治疗者,第1例前交通动脉瘤,行动脉瘤的直视手术,另2例开颅手术清除血肿,脑干出血未做脑外科手术。讨论:妊娠期脑出血的报告是比较少见的,妊
The authors reported 4 cases of intracerebral hemorrhage during pregnancy. The causes of hemorrhage included anterior communicating artery aneurysm, cerebellar arteriovenous malformation, basal ganglia and brainstem hemorrhage in 1 case each with an average age of 29.5 years, 1 case of early pregnancy and 3 cases of late pregnancy. 2 cases of primipara, 2 cases of mothers. Incidence of intracerebral hemorrhage, subarachnoid hemorrhage in 1 case (for the former traffic artery aneurysm), 3 cases of cerebral parenchymal hemorrhage, the three cases were unconscious during the onset of consciousness, both died. One case of subarachnoid hemorrhage had a good prognosis. On the outcome of the fetus, 1 case of pregnancy 12 weeks, interrupted pregnancy, 32 cases of 1 case of stillbirth, and the other 2 cases of childbirth survived. The patients undergoing brain surgery were treated with direct anterior communicating aneurysm and aneurysm surgery. The other two patients underwent craniotomy to clear the hematoma. The brain stem hemorrhage was not performed on brain surgery. Discussion: The report of intracerebral hemorrhage during pregnancy is relatively rare, pregnancy