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目的:对妊娠合并神经内科疾病的临床特点进行分析,探讨其治疗方法。方法:选取我院收治的11例妊娠合并神经内科疾病患者为研究对象,对其临床资料进行回顾性分析。结果:妊娠合并癫痫患者有5例,妊娠合并脑梗死患者有3例,垂体瘤术后1年1例,大脑多发性硬化患者2例。10例患者全部存活;共有新生儿11例,存活8例,死亡3例,1例胎死宫内,1例脑积水,1例脊柱裂。结论:妊娠合并癫痫患者在用药方面最好减药至最低维持剂量。加叶酸治疗科预防胎儿神经管畸形。对于癫痫持续状态患者最好进行剖宫产分娩。产前应加强检查,早期及时地发现并处理妊娠高血压综合征,可有效防止患者发生脑梗死。
Objective: To analyze the clinical features of neurological diseases in pregnancy and discuss its treatment. Methods: Eleven cases of pregnancy with neurological diseases admitted to our hospital were selected as the research object, and their clinical data were retrospectively analyzed. Results: There were 5 cases of pregnancy complicated with epilepsy, 3 cases of pregnancy complicated with cerebral infarction, 1 case of pituitary adenoma after 1 year and 2 cases of multiple sclerosis. All 10 patients survived. There were 11 newborns, 8 survived, 3 deaths, 1 fetal death, 1 hydrocephalus and 1 spina bifida. Conclusion: Pregnancy with epilepsy patients in the best drug administration to the minimum maintenance dose. Folic acid treatment of the prevention of fetal neural tube defects. Cesarean section delivery is best for patients with status epilepticus. Prenatal care should be strengthened to detect early and timely detection and treatment of pregnancy-induced hypertension, which can effectively prevent the occurrence of cerebral infarction in patients.