怀孕期间的沙吉塔鼻血栓:一个病例报告
Zaheera Saadia1, Misbah Ilyas2, Jayd Saud Althwiny3
1Department of Obstetrics and Gynecology, College of Medicine, Qassim University, Buraydah, Al-Qassim 52571, Saudi Arabia.
Experimental and therapeutic medicine
|March 2, 2026
概括
怀孕早期的大脑静脉鼻血栓 (CVST) 需要高度怀疑,因为症状重叠. 及时的抗凝药和多学科护理确保了母亲和孩子的积极结果.
科学领域:
- 产科和妇科 产科和妇科
- 神经学 神经学
- 血液学 血液学 血液学
背景情况:
- 大脑静脉鼻血栓塞 (CVST) 是怀孕期间罕见但严重的并发症.
- 怀孕引起的高凝血性增加了风险,特别是在怀孕晚期和产后.
- 早期怀孕CVST可以呈现出模仿正常怀孕的症状.
研究的目的:
- 在怀孕早期报告急性上斜鼻血栓的病例.
- 突出早期诊断和CVST孕妇多学科管理的重要性.
- 强调怀孕期间CVST抗凝剂的安全性和有效性.
主要方法:
- 一个病例报告,一名37岁的多发症妇女在怀孕6周时被诊断出CVST.
- 在整个怀孕期间,治疗包括治疗性低分子量肝素 (乙诺沙巴林).
- 在38周通过选择性剖腹产分娩,然后用阿皮克萨班进行产后抗凝治疗.
主要成果:
- 该患者在多学科监督下每天两次接受100毫克的素.
- 33周的复发症状在成像上没有显示新的血栓形成.
- 在治疗阿皮克萨班后,成功分娩了一个健康的新生儿,并在分娩后完全恢复神经系统.
结论:
- 在怀孕期间早期诊断CVST,即使在妊娠初期,也是至关重要的.
- 抗凝固疗法,如埃诺沙巴林和阿皮克萨班,是有效的管理CVST在怀孕期间和产后.
- 多学科监督是CVST孕妇患者有利的孕产妇和胎儿结果的关键.
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