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颅内静脉窦血栓形成的诊断与治疗 被引量:3

Diagnosis and Treatment on Vein Sinus Bolt Formation
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摘要 目的 临床证实核磁共振血管成像 (MRA/MRV)在静脉窦血栓形成诊断中的价值。方法 对诊断静脉窦血栓的 4 2例病例 ,从临床表现、MRA/MRV和CT影像学征象、长期抗凝加抗炎治疗等进行了回顾性分析。结果 病变部位MRA/MRV显示 :各种静脉窦高血流信号缺血 ,影像模糊不清、低血流信号 ,一段或整段管径变细。抗炎治疗同时用低分子肝素抗凝治疗4周 ,临床症状、体征明显好转。结论 头MRA、MRV能较好地反映静脉窦血流状态 ,在静脉窦血栓的诊断和疗效观察中可作为常规检查 ;低分子肝素钠治疗CVT效果确切、安全可靠。 Objective To proove the value of MRI/MRV in diagnosis of the vein sinus bolt formation.Methods 42 cases vein sinus bolt were analyzed in this hospital,to study the image of CT from clinical performance,MRA/MRV,long-term antiagglutinating and anti-inflammatroy.Result The manifestation of MRV/MRA of pathological change part shows high blood in sinus,lacks of vein signal,unclear and low blood in image singnal,and a segment or whole tube becomes thin.The clinical symptoms and signs become better after 4 weeks anti-inflammatory course.Conclusion MRA/MRV can reflect the blood appearance of the vein sinus better and be used as the regular check in vein sinus blood blot of diagnosis.
出处 《中国血液流变学杂志》 CAS 2004年第3期337-338,共2页 Chinese Journal of Hemorheology
关键词 颅内静脉窦血栓形成 诊断 治疗 核磁共振血管成像 vein sinus blood bolt MRA/MRV diagnosis treatment
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参考文献13

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二级参考文献15

  • 1张洪俊,中华神经外科杂志,1990年,6卷,298页
  • 2吴若秋,中华神经外科杂志,1986年,2卷,168页
  • 3Chan C,Neurousurg,1984年,15卷,76页
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  • 6Wechsler B, Vidailhet M, Piette JC, et al. Cerebral venous thrombosis in Behcet' s disease: clinical study and long-term follow-up of 25 cases.Neurology, 1992, 42(3 pt 1): 614-618.
  • 7Crawford SC, Digre KB, Palmer CA, et al. Thrombosis for the deep venous drainage of the brain in adults. Analysis of seven cases with review of the literature. Arch Neurol, 1995,52 ( 11 ): 1101-1108.
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  • 10Einhaupl KM, Villringer A, Meister W, et al. Cerebral venous thrombosis: nothing, heparin, or local thrombolysis? Stroke, 1999, 30(3):481483.

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