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目的分析颅内静脉窦血栓形成的诊断及治疗。方法回顾性分析30例颅内静脉窦血栓形成患者的起病形式、可能病因、临床表现、影像学特征、脑脊液检查及治疗结果,并分析静脉用药及颈动脉用药疗效。结果患者多亚急性起病,病因多样,临床表现多为高颅压综合征,脑脊液压力多数升高,影像学表现静脉血流减慢、闭塞,脱水、抗凝治疗疗效佳,颈动脉用药优于静脉用药。结论在高危因素存在下,出现高颅压症状,精神症状、肢体瘫痪等,应考虑颅内静脉窦血栓形成,及早行血管检查(MRV或DSA),诊断明确后早期应用溶栓治疗,特别是颈内动脉用药疗效好。
Objective To analyze the diagnosis and treatment of intracranial venous sinus thrombosis. Methods A retrospective analysis of 30 patients with intracranial venous sinus thrombosis in the form of onset, possible causes, clinical manifestations, imaging features, cerebrospinal fluid examination and treatment results, and analysis of intravenous and carotid drug efficacy. Results Patients with subacute onset, multiple causes, clinical manifestations of mostly intracranial pressure syndrome, most of the cerebrospinal fluid pressure increased, imaging showed venous blood flow slowed down, occlusion, dehydration, anticoagulant therapy, carotid artery medication excellent In intravenous medication. Conclusions High intracranial pressure symptoms, psychotic symptoms, limb paralysis, etc. should be considered in the presence of risk factors, intracranial venous sinus thrombosis should be considered, and early vascular examination (MRV or DSA), thrombolytic therapy should be early after diagnosis, especially Internal carotid artery medication effective.