孕妇创伤性颅脑损伤临床特点与治疗

Clinical characteristics and treatment for pregnant women with head injury

为提高孕妇颅脑损伤的救治水平,作者对22例孕妇颅脑损伤的临床资料进行分析,并观察东莨菪碱治疗作用。结果表明,脑挫裂伤合并脑内灶性出血多见(14/22),颅内血肿发生率低(8/22)。东莨菪碱对高颅压患者具有一定的降颅压作用。本组9例开颅手术,13例保守治疗。随访:2例轻残,20例治愈;婴、幼儿发育正常。结论:孕妇颅脑损伤及时正确处理,不影响正常妊娠。东莨菪碱尤其适用于妊娠高血压合并脑外伤患者。

objectives. To study on the clinical characteristics of pregnant women with head injury and raise the treatment level. Methods: The clinical data of 22 patients were analysed and the effect of scopo-lamine were observed. Results:There were contusion and laceration of brain and local bleeding in 14 patients, intracranial hematoma in 8 patients. The ICP of patients with intracranial hypertension can be reduced by scopolumine. Of these patients,9 cases were treated by craniotomy,13 cases by medicines;except 2 cases were maimed slightly, the other 20 cases were recovered. The follow - up survey of the infants and newborns were all fine. Conclusions:there was no bad effect in pregnant women if their head injuries were treated in time and scopolamine would be suitable for these women with pregnacy -induced hypertension complicated by head injury.