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中华脑血管病杂志(电子版) ›› 2020, Vol. 14 ›› Issue (06) : 322 -326. doi: 10.11817/j.issn.1673-9248.2020.06.002

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妊娠相关脑血管病的研究进展
吴雅婷1, 彭斌1,()   
  1. 1. 100730 中国医学科学院北京协和医院神经科
  • 收稿日期:2020-03-24 出版日期:2020-12-01
  • 通信作者: 彭斌

Research progress of pregnancy-related cerebrovascular diseases

Yating Wu1, Bin Peng1()   

  1. 1. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2020-03-24 Published:2020-12-01
  • Corresponding author: Bin Peng
  • About author:
    Corresponding author: Peng Bin, Email:
引用本文:

吴雅婷, 彭斌. 妊娠相关脑血管病的研究进展[J/OL]. 中华脑血管病杂志(电子版), 2020, 14(06): 322-326.

Yating Wu, Bin Peng. Research progress of pregnancy-related cerebrovascular diseases[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2020, 14(06): 322-326.

脑血管病是妊娠期间常见的神经系统并发症之一,妊娠相关的血流动力学变化以及体内高凝状态等因素均可增加脑血管病变的风险。而妊娠相关的脑血管病预后常较差,病死率较高,并且影响母体围产期和胎儿健康,因此需要早期识别和治疗。本文通过复习妊娠期及产褥期发生的缺血性卒中、出血性卒中、后部可逆性脑病综合征及可逆性脑血管收缩综合征的流行病学、病理生理改变、临床表现、诊断、治疗和预后,以期加强临床上对孕产妇脑血管病变的预防、识别和治疗,从而降低妊娠相关脑血管病的发病率和病死率。

Cerebrovascular disease is one of the most common neurological complications during pregnancy. Pregnancy-related hemodynamic changes, hypercoagulable state and other factors could increase the risk of cerebrovascular disease. Pregnancy-related cerebrovascular diseases often lead to poor prognosis and high mortality, and could affect the health of the fetus/fetuses. Therefore, early recognition and treatment is necessary. In this review, we discusses the epidemiology, pathophysiological changes, clinical manifestations, treatment, and prognosis of ischemic stroke, hemorrhagic stroke, posterior reversible encephalopathy syndrome, and reversible cerebral vasoconstriction syndrome during pregnancy and postpartum period. An increased focus on the prevention, recognition, and optimal treatment of maternal stroke will be critical to reduce the morbidity and mortality of pregnancy-related cerebrovascular diseases.

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