重度子痫前期与子痫并发可逆性后部白质脑病综合征31例临床分析

重度子痫前期与子痫并发可逆性后部白质脑病综合征31例

临床分析

王勇;杨春;常鸿;杨坤;郑德先

【期刊名称】《中华全科医师杂志》 【年(卷),期】2009(008)011

【摘要】Objective To explore clinical characteristics of severe pre-eclampsia and eclampsia complicated with reversible posterior leukoencephalopathy syndrome(RPLS).Methods Clinical data of 31 cases of severe pre-eclampsia and eclampsia complicated with RPLS were studied retrospectively.ResulIs These 31 cases with RPLS accounted for 48%

of

those

with

eclampsia,.and

all

presented

with

hypertension,headache and disturbalice of vision,24 cases with seizure episodes,19 cases with nausea and vomiting and 13 with continuous dysphoria after seizure.Neuroradiologic findings showed edema predominantly in the bilateral posterior cerebral white matter,especially in occipital-parietal lobe,with low density lesions in CT and long T1 and T2 signals in brain MRI. Conclusions Severe pre-eclampsia and eclampsia tended to complicate with RPLS,presenting severe hypertension,headache,disturbance of vision and recurrent seizure as major clinical manifestations.%目的 探讨重度子痫前期、子痫并发可逆性后部白质脑病综合征(RPLS)的临床特点.方法 回顾性分析31例重度子痫前期、子痫并发RPLS患者的临床资料.结果 31例RPLS占同期发生的64例子痫患者的