脑静脉系统血栓形成典型病例临床分析  

Clinical analysis of cerebral venous system thrombosis

作　　者：夏海平[1] 任乃勇[1] 钱进军[1] 赵康仁[1] 张渭芳[1] 汤继平[1] 

机构地区：[1]江苏镇江市第四人民医院,镇江212001

出　　处：《中国实用神经疾病杂志》2014年第22期11-13,共3页Chinese Journal of Practical Nervous Diseases

基　　金：镇江市社会发展科技支撑项目;项目编号(SH2014062)

摘　　要：目的对脑静脉系统血栓形成进行临床分析。方法对CVT患者临床资料进行分析。结果早期表现均有头痛、恶心、呕吐、颅内压增高表现,且呈进行性加重、常有癫痫、伴或不伴局灶性神经功能缺失。影像学检查显示:有上矢状窦、横窦血栓形成和乙状窦、横窦血栓形成,经脱水、抗凝、溶栓等治疗患者症状明显改善。结论脑静脉窦血栓形成早期临床无特异性,头颅CT结合CTV检查对本病诊断值较高。Objective To analyze the cerebral venous system thrombosis （CVT ）. Methods The data of patients with CVT were analyzed. Results Patients with CVT had the following symptoms ：the progressive headache ,nausea and vomiting , and increased intracranial pressure with epilepsy ,with or without focal neurological deficits. The imaging examination showed that there were superior sagittal sinus thrombosis ,transverse sinus ,sigmoid sinus and transverse sinus thrombosis ,which were obviously improved by the dehydration ,anticoagulation and thrombolysis therapy. Conclusion Early cerebral venous si-nus thrombosis has non-specific symptoms and is definitely diagnosed by head CT combined with CTV examination.

关 键 词：脑静脉系统血栓形成 诊断 CTV检查 

分 类 号：R743[医药卫生—神经病学与精神病学]