脑静脉血栓形成的临床诊治体会  

Clinical experience in diagnosis and treatment of cerebral venous thrombosis

作　　者：霍世会[1] 郑大勇[1] 杨勇[1] Huo Shihui;Zheng Dayong;Yang Yong(Department of Interventional Radiology,the Hospital of Qianwei,Jilin Province 130012)

机构地区：[1]吉林省前卫医院神经介入科,130012

出　　处：《中国社区医师》2016年第7期73-73,75,共2页Chinese Community Doctors

摘　　要：目的:研究探讨脑静脉血栓的临床诊治方法。方法:收治脑静脉血栓患者20例,采用低分子肝素治疗5例,采用持续静脉泵入普通肝素治疗15例,根据患者活化部分凝血活酶时间确定用量。如持续静脉泵入肝素治疗无效,则采取介入溶栓进行治疗。结果:所有患者的治疗时间为3周,其中15例患者脑静脉血栓再通,4例因普通肝素治疗效果不佳采用介入治疗,1例患者因合并血液疾病治疗无效。治疗后随访6个月,16例患者预后良好,3例残疾,1例死亡。结论:肝素对脑静脉血栓的治疗效果明显,安全性较高。Objective:To study on clinical diagnosis and treatment of cerebral venous thrombosis.Methods:20 patients withcerebral venous thrombosis were selected.5 cases were treated with low molecular weight heparin(LMWH),by continuousintravenous pumping unfractionated heparin for the treatment of 15 cases,according to the with activated partial thromboplastintime determine the dosage.If the continuous intravenous infusion of heparin treatment is ineffective,then take the treatment ofinterventional thrombolysis. Results:All patients were treated for 3 weeks, including 15 cases of patients with cerebral venousthrombosis recanalization;4 cases with normal treatment with heparin treatment the effect not beautiful intervention;1 patientblood disease treatment is invalid due to the merger.Followed up for 6 months after treatment, prognosis of 16 patients was good;3cases of disability;1 case died.Conclusion:The effect of heparin on cerebral venous thrombosis is obvious, and the safety is high.

关 键 词：脑静脉血栓 肝素 持续静脉泵入 

分 类 号：R743.3[医药卫生—神经病学与精神病学]