37例脑静脉窦血栓形成的临床分析.doc

37例脑静脉窦血栓形成的临床分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的探讨脑静脉窦血栓形成(CVST)的早期诊断及治疗。方法回顾性分析37例(男13例、女24例)CVST患者的发病年龄、起病形式、首发症状、临床表现、影像学检查、脑脊液结果及预后情况。结果 CVST发病年龄多在30~41岁;早期表现以头痛为主24例(%),以呕吐为主10例(%),伴有局灶性神经功能缺损;影像学表现为局限性脑梗死17例(%),其中伴有渗血或血肿6例(%);脑脊液压力增高者32例(%),蛋白增高13例(%),白细胞增高11例(%);37例患者中,33例好转出院(%),死亡1例(%)。结论对于急性、亚急性或慢性发病的头痛、呕吐、伴或不伴有局灶性神经功能缺损或癫痫发作的青壮年患者,应高度怀疑CVST,及时行CT、MRI、磁共振静脉成像(MRV)等检查,必要时行数字减影血管成像(DSA)检查。一旦确诊,应尽早选用抗凝药物治疗,并且要长时间足疗程。
【关键词】静脉窦血栓形成;颅内;临床分析
[Abstract] Objective To explore the early diagnosis and treatment for cerebral venous sinus thrombosis (CVST).Methods Retrospective analysis was carried out on the age and pattern of onset, first symptom, clinical characteristics, imaging characteristic, result of cerebrospinal fluid and prognosis in 37 CVST patients (male 13 and female 24).Results The CVST occurred in the thirty and forty-one mainly; The early clinical characteristics were headache (accounted for about % in all cases), vomit (accounted for about % in all cases), some panied with focal neurologic impairment. The imaging findings in CVST were venous sinus occlusion and local infarction (accounted for about % in all cases), some panied with capillary hemorrhage or haematoma (accounted for about % in all cases). The intracranial pressure increased in CVST patients (accounted for abou