摘要
目的:探讨脑静脉窦血栓形成的急性期诊断及治疗。方法:回顾性分析34例脑静脉窦血栓患者的临床资料。患者均行CT和MRI、MRV检查,部分患者行DSA检查,确诊后针对病因给予对症、抗凝或溶栓治疗。结果:所有患者均急性起病(≤1周),治愈26例,好转4例,恶化4例,无死亡病例。结论:脑静脉窦血栓形成的急性期临床表现缺乏特异性,故对于急性起病的高颅压伴或不伴有神经功能障碍的患者,尽早行CT、MRI、MRV或DSA检查,及时治疗,可显著改善患者的预后。
ObjectiveTo study diagnosis and treatment of cerebral venous sinus thrombosis （CVST） in acute stage. Meth-ods：The clinical data of 34 cases with cerebral venous sinus thrombosis, who were admitted to the emergency department in the past 6years, were retrospectively analyzed. All the patients were inspected by CT, MRI and MRV examination, and some were examined byDSA. After the diagnosis, they are treated with anticoagulation or thrombolysis according to the symptoms and causes of the disease.Results： All the patients were the acute pathogenesis （less than 1 week）, wherein 26 cases were cured, 4 cases were improved, 4 ca-ses were worsen, however, no dead cases were reported. Conclusions： The acute stage of CVST lacks special clinical manifestation.Therefore, CT, MRI, MRV or DSA should be used for the high intracranial pressure patients combined with nerve dysfunction or nottimely. Moreover, the early diagnosis and treatment can notably improve the patient＇s prognosis.
出处
《中国民康医学》
2014年第3期62-63,共2页
Medical Journal of Chinese People’s Health
关键词
脑静脉窦
血栓形成
急性期
诊断
治疗
Cerebral venous sinus
Thrombosis
Acute stage
Diagnosis
Treatmen
