摘要
目的探讨颅内静脉窦血栓形成的临床特点及诊断治疗方案。方法回顾分析我院40例CVST患者的起病形式、可能病因、临床表现、影像学特征、脑脊液检查、治疗结果及随访预后情况。结果 CVST多为急性或亚急性起病,并逐渐加重;临床表现多为高颅压综合征,脑脊液压力多数升高,影像学表现静脉血流减慢,闭塞,脱水、抗凝治疗疗效佳。结论 CVST的临床表现个体差异大,缺乏特异性,易漏诊或误诊。头部CT及MRV有助于早期诊断;治疗以肝素抗凝及静脉溶栓为主,必要时可联合介入溶栓治疗,及早诊断、早治疗是救治关键。
Objective To investigate the clinical characteristics and the dianosis and treatment strategies of cerebral venous sinus thrombosis（CVST）.Methods We analyzed retrospectively 40 cases of the CVST patients in our hospital from July 2006 to December 2010,including possiple etiology,disease forms,clinical manifestations,imaging characteristics,change of cerebrospinal fluid,treatment options and prognosis.Results Most of the patients had subacute or acute onset with variety causes.The majority had the clinical manifestation of cerebrospinal fluid pressure increased.Imaging study might show symmetrical infarctions in bilateral thalamus and basal ganglia,and it was often combined with hemorrhage.Anticoagulant therapy with heparin and dehydration therapy was effective.Conclusion The clinical manifestation of CVST is variable and nonspecific.Head CT and MRV will contribute to early diagnosis.Hepafin anticoagulation is the chief treatment,combined with interventional thrombolysis therapy when necesary.Early diagnosis and early treatment are importent to the outcome.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2012年第10期924-925,共2页
Journal of Apoplexy and Nervous Diseases
