本文關(guān)鍵詞： 子癇 腦病 CT檢查 磁共振成像　出處：《實(shí)用婦產(chǎn)科雜志》2017年06期 　論文類型：期刊論文

【摘要】：目的:對(duì)子癇引起的腦后部可逆性病變(子癇腦病)的影像學(xué)表現(xiàn)進(jìn)行分析,加深對(duì)本病的認(rèn)識(shí)。方法:回顧性分析我院2015年3月至2016年3月9例子癇腦病患者的臨床表現(xiàn)、CT檢查、MRI檢查資料。9例行CT檢查及磁共振成像(MRI)檢查,5例于314天后復(fù)查MRI。結(jié)果:9例CT平掃為不規(guī)則形低密度區(qū);MRI平掃T1WI上低信號(hào),T2WI及T2Fliar呈高信號(hào),擴(kuò)散加權(quán)成像(DWI)病灶呈高信號(hào),彌散表觀系數(shù)(ADC)圖上呈高信號(hào)。7例增強(qiáng)掃描均未見(jiàn)強(qiáng)化。3例行磁共振血管成像(MRA)均未發(fā)現(xiàn)特殊。1例患者磁共振靜脈血管成像(MRV)檢查正常。經(jīng)治療后5例復(fù)查MRI,3例顯示病灶完全消失,病灶范圍明顯縮小者2例。病變主要以雙側(cè)頂枕葉為主,其次是額葉和顳葉,基底節(jié)區(qū)和小腦半球亦有累及。臨床出現(xiàn)抽搐9例,頭痛7例、視物模糊1例,意識(shí)障礙4例。治療后癥狀緩解或消失,實(shí)驗(yàn)室指標(biāo)恢復(fù)正常。結(jié)論:子癇腦病常急性起病,收縮壓及舒張壓均突然增高。影像學(xué)表現(xiàn)非常具有特征性,MRI擴(kuò)散加權(quán)成像對(duì)鑒別診斷及早期明確診斷和指導(dǎo)治療有重要的意義。
[Abstract]:Objective: to analyze the imaging findings of reversible lesions in the posterior part of the brain (eclampsia) caused by eclampsia. Methods: the clinical manifestations of patients with eclampsia from March 2015 to March 9th 2016 were analyzed retrospectively. 9 cases of MRI were examined by CT and Mr imaging (MRI) in 5 cases after 314 days. Results 9 cases of CT showed irregular low density area. Hypointensity T _ 2WI and T _ 2Fliar on MRI plain scan were hyperintense, and diffusion weighted imaging (DWI) showed high signal intensity on T _ 2WI and T _ 2Fliar. Diffusion apparent coefficient (ADCG) showed high signal intensity in 7 cases. No enhancement was found in any of the 7 cases. 3 cases of MRA-MRA were not found in any of the 7 cases. No special cases were found in all of them. The examination was normal. After treatment, MRI was reexamined in 5 cases. In 3 cases, the lesion disappeared completely and the lesion area was obviously reduced in 2 cases. The lesions were mainly bilateral parietal occipital lobe, followed by frontal lobe and temporal lobe, and the basal ganglia and cerebellar hemisphere were also involved. Convulsions occurred in 9 cases. There were 7 cases of headache, 1 case of blurred vision and 4 cases of disturbance of consciousness. The symptoms were relieved or disappeared after treatment, and the laboratory indexes returned to normal. Conclusion: eclampsia encephalopathy often starts acute. Systolic blood pressure and diastolic blood pressure increased suddenly.
【作者單位】： 云南省第一人民醫(yī)院;
【分類號(hào)】：R714.245;R747.9
【正文快照】： 子癇是產(chǎn)科重癥,臨床表現(xiàn)以頭痛、眼花為主要。子癇引起的腦后部可逆性病變(子癇腦病),病情往往危急,其影像學(xué)表現(xiàn)顱內(nèi)病灶分布具有一定特征性,且在病因及時(shí)糾正后病灶可短期內(nèi)消失。本文對(duì)我院經(jīng)臨床及影像確診的9例子癇腦病的臨床及影像學(xué)資料的進(jìn)行分析,旨在加深對(duì)該病的認(rèn)

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相關(guān)期刊論文 前4條

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本文編號(hào)：1447745