颅内静脉窦血栓形成12例临床分析  

Analysis of intracranial venous sinus thrombosis in 12 cases

作　　者：方玲[1] 杜伟杰[1] 张伟国[1] 

机构地区：[1]茂名市人民医院脑内三科,广东茂名525000

出　　处：《中国医药导报》2011年第12期183-184,共2页China Medical Herald

摘　　要：目的:分析颅内静脉窦血栓形成的临床资料,总结其早期诊断及治疗方法。方法:收集2005年3月～2009年12月我科收治的12例确诊为颅内静脉窦血栓形成患者的临床资料,并进行回顾性分析。结果:83.3%的患者以头痛为首发表现,其次为意识障碍和癫痫发作,所有患者均有脑脊液压力升高。头颅CT检查的阳性率较低,头颅MRI+MRV联合应用,可显著提高CVST的阳性率,确诊后予抗凝、脱水降颅压及对症治疗,治愈8例,好转3例,死亡1例。结论:对首先持续而严重的头痛,且伴有意识障碍、癫痫的患者,应高度怀疑CVST,头颅MRI+MRV检查是诊断CVST的最佳办法,早期诊断、早期治疗可以改善患者的预后。Objective： To review the early diagnosis and treatment of intracranial venous sinus thrombosis information . Methods： Twelves patients, diagnosed as cerebral venous sinus thrombosis in our hospital from March 2005 to December 2009,were collected and analyzed retrospectively. Results： 83.3% of patients with headache as the initial presentation, fol- lowed by disturbance of consciousness and seizures; all patients had elevated cerebrospinal fluid pressure. Head CT, the positive rate low, head MRI ＋ MRV combined, can significantly increase the positive rate of CVST, for anticoagulation after diagnosis, dehydration, and symptomatic intracranial pressure lowering treatment, cure, 8 cases improved in 3 cases, 1 died. Conclusion： The patients with the first sustained and severe headaches, and accompanied by disturbance of consciousness, epilepsy should be suspected CVST. Head MR! ＋ MRV examination is the best way to diagnose of CVST; early diagnosis and early treatment can improve the prognosis.

关 键 词：颅内静脉窦血栓形成 头颅磁共振成像 磁共振静脉成像 治疗 

分 类 号：R445.2[医药卫生—影像医学与核医学]