內容目錄
Medical staff performing cerebral angiography on patient
Postoperative angiography showed partial recovery of blood flow
Just become a happy motherMs. Zhang, who has been a happy mother for more than 20 days, suddenly had a headache. She thought it was the cold of the confinement child, but she developed convulsions and loss of consciousness. Sinus Thrombosis”. On March 10, after being treated by interventional vascular surgery in Hunan Provincial People’s Hospital, Ms. Zhang recovered well and is about to be discharged. Experts remind that women who have unexplained headaches, vomiting and other symptoms during the puerperium should be alert to intracranial venous sinus thrombosis and seek medical attention in time, otherwise once the thrombus falls off, it can be life-threatening.
The 21year-old Ms. Zhang who lives in Yongzhou is a happy mother who just gave birth for more than 20 days. During the confinement period, Ms. Zhang had a sudden headache. Thinking of her previous health, she thought it was caused by a cold, so she took the cold medicine by herself. But Ms. Zhang’s headache not only did not relieve, but became more serious. After going to a local hospital for treatment, he was diagnosed with puerperal intracranial venous sinus thrombosis. After symptomatic treatment, Ms. Zhang’s headache was relieved slightly, but the headache came back the next night, accompanied by convulsions and loss of consciousness. In order to avoid the deterioration of her condition, Ms. Zhang’s family contacted120 to urgently escort her to Changsha for further treatment.
At 3:00 am on March 7, Ms. Zhang was escorted to the first ward of Interventional Vascular Surgery, Hunan Provincial People’s Hospital. Deputy chief physicians Kang Chaowen and Huang Jiang immediately started the green treatment channel after detailed consultation and evaluation. After completing the preoperative preparation, Ms. Zhang was escorted to the interventional operating room. Intraoperative cerebral angiography showed that the blood flow of the patient’s intracranial venous sinus partially recovered, and autolysis after thrombotic anticoagulation was considered. Fortunately, the anticoagulation treatment was timely, and Ms. Zhang did not need further interventional thrombectomy for the time being. Through the meticulous postoperative care of the nursing team, Ms. Zhang has a clear consciousness, normal muscle strength, and relieved headaches. At present, Ms. Zhang is recovering well and will be discharged soon.
Postpartum blood hypercoagulation, combined with long-term bed rest, is not prone to deep vein thrombosis in the lower extremities, why is there a thrombosis in the brain?
Deputy Chief Physician Kang Chaowen said that intracranial venous sinus thrombosis in the puerperium is one of the acute and critical illnesses of puerperae. rate is very high. Once it occurs, the disease has a high mortality rate and is a major killer of maternal health. Due to postpartum blood hypercoagulation, combined with various factors such as bleeding, infection, fatigue, tension and anxiety during delivery, especially high-risk factors such as pregnancy-induced hypertension during pregnancy, postpartum may induce this dangerous “confinement”. sick”. Although the main manifestations of intracranial venous sinus thrombosis in the puerperium are headache, convulsions, etc., severe cases can be complicated by cerebral infarction, cerebral hemorrhage and other irreversible brain damage, and even lead to death of the patient. Once the disease is diagnosed, anticoagulant thrombolysis, thrombolysis and other treatments should be performed as soon as possible. Once delayed, serious consequences are very likely to occur.
Deputy Chief Physician Kang Chaowen reminded that women should not only pay attention to a nutritious diet after childbirth, but also pay attention to drinking more water, avoiding spicy and greasy food, and should eat light food. In addition, once you feel unwell during the puerperium, you must not take medicines at home, and you must seek medical treatment in time to avoid delaying the disease. (Hunan Provincial People’s Hospital Intervention Ward 1 Liu Huanhuan Li Yulian)
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