【摘要】 目的:探讨脑静脉窦血栓形成早期临床特点及治疗方法。方法:回顾性分析14例病人的临床特点、影像学特征及实验室检查结果。结果:多为中青年,急性发病。临床表现为头痛、呕吐、伴或不伴局灶性神经功能缺损症状或癫痫发作;影像学表现为静脉窦闭塞及静脉性脑梗死及脑出血灶。应用脱水、抗凝、溶栓治疗。14例中12例完全恢复正常,1例死亡。结论:对临床急性起病的头痛、呕吐,伴或不伴局灶性神经功能缺损或癫痫发作的中青年人应高度怀疑脑静脉窦血栓形成。及时CT、MR I、DSA及腰穿检查明确诊断,一旦确诊,应及早给予降颅压、溶栓、抗凝治疗。更多还原

【Abstract】 Objective: To explore the early clinical characteristics and teatment for cerebral venous sinus thrombosis(CVST).Method: Retrospective analysis on clinical characteristics,imaging characteristic,result of laboratory examination in 14 CVST patients.Result: The CVST occurred in the middle age and young adults mainly.The early clinical characteristics were headache,vomit,some accompanied with focal neurologic impairment or seizure.The imaging findings in CVST were venous sinus occlusion,venous infarction and hemorrhage,All of them were treated with dehydration, anticoagulation and thrombolysis.12 of 14 patients recovered.1 of 14 patients died.Conclusion: The middle age and young patients who with acute headache attack,vomit,focal neurologic impairment or seizure,should be suspected CVST and immediately undertaken the examination of CT,MRI,MRA MRV and lumbar puncture in order to make a definite diagnosis.It is essential to treat with dehydration, anticoagulation and thrombolysis after the diagnosis of CVST.更多还原