| 何桂香.颅内静脉窦血栓回顾性临床研究[J].实用中西医结合临床,2017,17(8):3-4,23 |
| 颅内静脉窦血栓回顾性临床研究 |
| Retrospective Clinical Research of Intracranial Venous Sinus Thrombosis |
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| DOI： |
| 中文关键词: 颅内静脉窦血栓 危险因素 头痛 抗凝 |
| 英文关键词: Intracranial venous sinus thrombosis Risk factors Headache Anticoagulation |
| 基金项目: |
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| 摘要点击次数: 767 |
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| 中文摘要: |
| 目的：探讨颅内静脉窦血栓（CVST）形成的危险因素、临床表现、影像学检查、诊治及影响预后的因素等。方法：回顾性
分析2010 年8 月～2016 年4 月经确诊的30 例CVST 患者的危险因素、临床表现、脑脊液、头颅CT、MRI、MRV 及预后评估等。结
果：CVST 发病因素较多， 部分患者合并多个危险因素； 头痛、视物模糊、意识障碍、精神障碍、癫痫等为常见临床表现； 头颅
MRI+MRV 是目前CVST 检查最常用的诊断手段，DSA 检查为金标准； 肝素抗凝安全有效。结论：CVST 临床症状多变且无特异
性，头痛为主要临床表现，头颅MRV 可提高诊断阳性率，DSA 检查为金标准；高颅压、局灶性神经功能障碍、脑出血是本病预后不
良的独立危险因素。 |
| 英文摘要: |
| Objective: To evaluate the risk factors, clinical manifestations, imaging examination, diagnosis, treatment and the factors influencing prognosis of the formation intracranial venous sinus thrombosis (CVST). Methods: From August 2010 to April 2016, a retrospective analysis on 30 cases of patients with CVST, the risk factors, clinical manifestations, cerebrospinal fluid, cranial CT, MRI, MRV and prognosis were evaluated. Results: There were many pathogenic factors of CVST, some patients merge multiple risk factors; Headache, blurred vision, disturbance of consciousness, mental disorders, epilepsy, etc, as the common clinical manifestations; head MRI and MRV were now the most common methods for diagnosis of CVST check, DSA examination as the gold standard; Heparin anticoagulation was safe and effective. Conclusion: The clinical symptoms of CVST are variable and nonspecific, headache as the main clinical manifestations, cranial MRV can improve the positive rate of diagnosis, DSA examination as the gold standard; high intracranial pressure、focal neurological dysfunction and cerebral hemorrhage were independent risk prognostic factors of the disease. |
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