| 杨姗杉1 杨凤民1 夏圣梅1 王长远2 卢岩2.颅内静脉系统血栓形成6 例临床分析[J].现代生物医学进展英文版,2011,11(13):2516-2518. |
| 颅内静脉系统血栓形成6 例临床分析 |
| Clinical Analysis of 6 Cases with Intracranial Venous Thrombosis |
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| DOI： |
| 中文关键词: 颅内静脉血栓形成 脑脊液 数字减影血管造影 磁共振成像 治疗 |
| 英文关键词: Intracranial venous thrombosis Cerebrospinal fluid Digital subtraction angiography Magnetic resonance imaging Treatment |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨颅内静脉系统血栓形成(CVT)的临床表现、影像学特征以及治疗方法对临床诊断的意义。方法：回顾性分析首都
医科大学宣武医院收治的6 例CVT 患者的临床表现及影像学特征与治疗方法。结果：6 例临床表现无特殊，4 例经MRI+MRV 确
诊，3 例DSA 检查确诊，1 例介入治疗，4 例抗凝治疗，2 例保守，无死亡患者。结论：静脉系统血栓形成临床症状缺乏特异性，临床
遇到急性起病的头痛、呕吐，伴或不伴有局灶性神经功能缺损或癫痫发作、意识障碍的青中年人，应高度怀疑CVT。早期应用抗
凝、溶栓等治疗方法，对改善预后具有较高的临床应用价值。 |
| 英文摘要: |
| Objective: To investigate the clinical diagnosis significance of intracranial venous system thrombosis (CVT) of
clinical, radiological characteristics and treatment method. Methods: We retrospectively analysed the clinical manifestations , imaging
features and therapeutic methods of 6 CVT patients admitted in Xuanwu Hospital ,Capital Medical University. Results: 6 cases show no
special, 4 cases confirmed by MRI + MRV, 3 cases of DSA confirmed, 1 cases of intervention, 4 cases of anticoagulant therapy, 2 cases
of conservative, no death.Conclusion: Venous system thrombosis clinical symptoms lack of specificity, the misdiagnosis rate is high, with
young and middle-aged patients of acute onset headache, vomiting, with or without focal neurologic deficits or seizures, consciousness
disorder, CVT should be highly suspect. Middle-aged and young patients of subacute onset,should also be vigilant, early MRI and MRV
or DSA clear diagnosis and early anticoagulation, fibrinolytic therapy, such as to improve prognosis has high clinical value. |
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