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目的 回顾总结颅内静脉窦血栓形成的临床资料 ,概述其临床特征。方法 分析总结 1990~ 2 0 0 0年北京协和医院和北京铁路总医院收治的颅内静脉窦血栓形成 13例。结果 本组患者占住院病人总数的 0 .0 5‰ ,发病年龄 13~ 5 0岁 ,男女之比为 10∶ 3,DSA检查敏感性较高 ,药物治疗对降低颅内压效果不佳。结论 为协助诊断 ,发病≤ 2周者可行 CT或 MRI+MRA检查 ,发病 2~ 4周者宜行增强 CT或 MRI检查 ,发病 >4周者或经 CT、MRI/MRA检查未能确诊者应行 DSA检查
Objective To review the clinical data of intracranial venous sinus thrombosis and summarize the clinical features. Methods Thirteen cases of intracranial venous sinus thrombosis admitted to Peking Union Medical College Hospital and Beijing Railway General Hospital from 1990 to 2000 were summarized. Results The total number of patients in this group of patients accounted for 0.55 ‰, the age of onset of 13 to 50 years old, male to female ratio of 10 3, DSA test higher sensitivity of drug treatment to reduce intracranial pressure ineffective. Conclusions To assist in the diagnosis, CT or MRI + MRA examination should be performed in patients with onset ≤ 2 weeks. CT or MRI examination should be performed 2 to 4 weeks after onset. Patients who have not been diagnosed by CT or MRI / MRA should be screened by CT or MRI Line DSA check