Stroke in pregnancy

doi:10.1177/17474930261463866

2026-06-19

PRE

Valerie Arias

Ilayda Yilmaz Soylu

Eliza C. Miller

DOI：10.1177/17474930261463866

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妊娠期卒中虽罕见，但会导致严重的母体病残率和死亡率。妊娠及产后期生理变化破坏脑血管稳态，易致妊娠特异性综合征并使卒中风险增加三倍。妊娠相关卒中的机制多样，包括心源性栓塞、血管病（颈部动脉夹层、可逆性脑血管收缩综合征）、与血管病变或子痫前期相关的颅内出血以及 cerebral venous thrombosis。临床表现异质性和处理妊娠妇女经验有限可能增加诊断和管理的挑战。本文综述妊娠生理变化，以及易致卒中的妊娠相关综合征，包括子痫前期和其他妊娠期高血压疾病、产褥期心肌病和羊水栓塞。我们提出妊娠期高血压疾病和某些妊娠相关卒中可能共享潜在机制，并代表一种以内皮功能障碍和交感神经过度兴奋为特征的妊娠相关血管病的连续谱。我们还为卒中临床医师提供实用考量，包括成像模式的安全性、妊娠相关卒中预防和治疗的方案，以及妊娠相关卒中后的预后。

期刊

International Journal of Stroke

IF:

8.7

论文数:

3.0K

被引数:

8.4K

机构

university of pittsburgh

学者数:

6.3K

论文数: 2.8K

被引数: 1

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