摘要
目的探讨颅内静脉系统血栓形成的早期诊断方法及病因。方法对11例确诊为颅内静脉系统血栓患者的临床资料进行回顾性分析。结果临床主要表现为头痛10例,视乳头水肿8例,脑膜刺激征7例,意识障碍4例,抽搐3例,视力障碍2例;9例发现各种血液高凝因素;10例MRI+MRV发现脑静脉或静脉窦异常信号,其中2例合并出血;早期抗凝及纤溶治疗治愈7例、好转3例、死亡1例。结论MRI+MRV对颅内静脉系统血栓早期诊断具有重要意义,早期抗凝及纤溶治疗安全、效果好。
Objective To explore the early diagnosis and the etiology of intracranial venoos thrombosis. Method The clinical data of l l cases finally diagnosed intracranial venous thrombosis were retrospectively reviewed. Results The clinical manifestations were headache （10 cases）, optic disc edema （8 cases）, meningeal irritation sign （7 cases）, conscious disturbance （4 cases）, convulsion （3 cases） and visual disturbance （2 cases）. Multiple blood coagulation enhancing factors were found in 9 patients. MRI and MRV images directly exhigited venous sinus occlusion and thrombosis in all the 10 cases. After early anticoagulation treatment, 7 cases were resolved, and 3 cases improved and 1 case died. Conclusion MRI ＋ MRV plays an important role in the early diagnosis of intracranial venous thrombosis. Early anticeagulation treatment could improve the prognosis.
出处
《实用预防医学》
CAS
2005年第5期1038-1039,共2页
Practical Preventive Medicine
关键词
颅内静脉血栓
早期诊断
病因分析
磁共振静脉成像
Intracranial venous thrombosis
Early diagnosis
Etiology analysis
Magnetic resonance venegraphy
