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颅内静脉系栓塞可发生在产后。患者往往以癲痫样发作或头痛、呕吐、颅内压增高等症状就诊,如能及时诊断与治疗,可以挽救病人生命。作者共收集5例,报道如下。例1 女,28岁。10天前足月顺产一男婴,产后4天自觉头痛,第5天起床时突然出现四肢强直抽搐,双眼左斜视,牙关紧闭,口吐白沫,意识不清,持续5分钟左右。当天反复发作10余次,开始间歇期意识清,后转入昏迷。发病第3天出现左侧肢体瘫痪,伴饮水呛咳。既往无癲痫病史。检查:T37.9℃,P108次/分,R24次/分,Bp110/70mmHg。神志不清,呈嗜睡状态,双瞳孔等大约3mm,对光反应存在,双眼底视乳头正常。左侧轻度中枢性面瘫,左侧肌张力低,坠落试验阳性,腱反射左>右,病理征(-)。血、
Intracranial venous embolism can occur in the postpartum. Patients often epileptic seizures or headache, vomiting, increased intracranial pressure and other symptoms, such as timely diagnosis and treatment, can save the lives of patients. The authors collected a total of 5 cases, reported as follows. Example 1 Female, 28 years old. 10 days ago, a full-term birth of a baby boy, 4 days postpartum headache conscious, get up suddenly on the 5th day limbs tonic twitching, left eyes strabismus, teeth closed, foaming at the mouth, unconsciousness, lasted 5 minutes. The same day more than 10 episodes, began intermittent awareness, into the coma. The incidence of paralysis of the left limb on the 3rd day, with drinking cough. No past history of epilepsy. Check: T37.9 ℃, P108 beats / min, R24 beats / min, Bp110 / 70mmHg. Unconscious, was lethargy state, double pupil about 3mm, the presence of light reaction, both eyes end of normal nipple. Left mild central facial paralysis, low left muscle tone, fall test positive, tendon reflex left> right, pathological sign (-). blood,