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48例脑静脉窦血栓形成的诊治

魏博平 袁民绍 王新高

中国卒中杂志2011,Vol.6Issue(5):376-380,5.
中国卒中杂志2011,Vol.6Issue(5):376-380,5.

48例脑静脉窦血栓形成的诊治

Diagnosis and Treatment of 48 Cases of Cerebral Venous Sinus Thrombosis

魏博平 1袁民绍 1王新高2

作者信息

  • 1. 266200,山东省青岛市,即墨市人民医院神经内科
  • 2. 北京首都医科大学附属北京天坛医院神经内科
  • 折叠

摘要

Abstract

Objective To analyze the features of cerebral venous sinus thrombosis (CVST), and to assess the therapeutic effect.Methods To retrospectively analyze the clinical data of cerebral venous sinus thrombosis that comes from Beijing Tiantan Hospital and People's Hospital of Jimo.Results From 2006 to 2010, 48 cases of definite cerebral venous sinus thrombosis were treated in both hospitals, 24 (50.0%) cases were subacute onset, mainly for intracranial hypertension syndrome, 8 (16.7%) cases were complicated with limb movement disorder. Eight (16.7%) cases occurred disturbance of consciousness. The head magnetic resonance venography (MRV) showed different degrees of cerebral venous smus occlusion. Etiological treatment, anticoagulant therapy,symptomatic and supportive treatment are the main measures. Thrombolytic therapy combined when necessary. Fifteen (31.3%) cases recovered, 30 (62.5%) cases improved, 3 (6.25%) cases invalid.Conclusion The lack of specific clinical manifestations of CVST, magnetic resonance imaging (MRI) should be the first line as soon as possible, the first MRI diagnosis and prompt treatment is critical, anticoagulant therapy is the first-line treatment for CVST. If received treatment, the disease has relative good prognosis.

关键词

窦血栓形成,颅内/诊断/治疗

Key words

Sinus thrombosis/ intracranial/ Diagnosis/ Therapy

引用本文复制引用

魏博平,袁民绍,王新高..48例脑静脉窦血栓形成的诊治[J].中国卒中杂志,2011,6(5):376-380,5.

中国卒中杂志

OACSTPCD

1673-5765

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