产后头痛与低颅压合并硬膜下血肿1例

发布时间：2018-01-29 13:11

  本文关键词： 产后头痛 硬膜下血肿 低颅压 颅内静脉窦血栓 硬膜下积液 非喷射性呕吐 额颞部 前额部 直窦 体位性头痛 　出处：《广东医学》2017年09期 　论文类型：期刊论文

【摘要】：正患者,女,36岁,因产后头痛伴恶心呕吐6 d,于2016年6月16日入院。患者6 d前剖宫产术后醒来即感头痛,以后枕至前额部为主的钝痛,坐起及活动时明显,平躺后可缓解,伴恶心、呕吐,非喷射性呕吐胃内容物,无视物模糊、发热、抽搐等。2 d前当地医院行颅脑CT示左额颞部慢性硬膜下血肿,磁共振示颅内静脉窦血栓?(图1),给予相应治疗(具体不详)后无明显改善,转入我院急诊科行颅脑CT示左侧硬膜下积液,左侧直窦区及大脑镰前部增宽、密度增
[Abstract]:A 36-year-old woman with postpartum headache and nausea and vomiting was admitted to hospital on June 16th 2016. The patient woke up 6 days before cesarean section and suffered from blunt pain mainly from the occipital to the forehead. Sitting up and moving obviously, can be relieved after lying flat, accompanied by nausea, vomiting, non-jet vomiting stomach contents, ignoring the matter fuzzy, fever. The left frontotemporal chronic subdural hematoma and intracranial venous sinus thrombosis were shown by CT and MRI in the local hospital before 2 days before convulsion. (fig. 1) there was no obvious improvement after the corresponding treatment (not specific). The brain CT scan showed the left subdural effusion, the left straight sinus area and the anterior part of the cerebral falx widened, and the density increased.
【作者单位】： 南昌大学第二附属医院神经内科;
【分类号】：R714.6;R743.34
【正文快照】： 患者,女,36岁,因产后头痛伴恶心呕吐6 d,于2016年6月16日入院。患者6 d前剖宫产术后醒来即感头痛,以后枕至前额部为主的钝痛,坐起及活动时明显,平躺后可缓解,伴恶心、呕吐,非喷射性呕吐胃内容物,无视物模糊、发热、抽搐等。2 d前当地医院行颅脑CT示左额颞部慢性硬膜下血肿,磁，

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