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目的:探讨脑静脉窦血栓形成(CVST)的诊断及治疗策略。方法:对24例确诊为CVST患者的病因、临床表现、影像学特征、治疗方法及预后进行回顾性分析。结果:24例患者中,经各种方法治疗后4例痊愈,14例好转出院,1例死亡,5例自动出院。结论:CVST病因复杂,临床表现无特异性,确诊需行MRI/MRV或DSA检查;早期给予抗凝、溶栓及病因的对症治疗可获得较好效果。
Objective: To explore the diagnosis and treatment of cerebral venous sinus thrombosis (CVST). Methods: The etiology, clinical manifestations, imaging features, treatment and prognosis of 24 patients with CVST were retrospectively analyzed. Results: Of the 24 patients, 4 were cured after various treatments, 14 were well discharged, 1 died, and 5 were discharged spontaneously. Conclusions: The etiology of CVST is complex and its clinical manifestations are non-specific. MRI / MRV or DSA is required for the diagnosis of CVST. Early symptomatic treatment with anticoagulation, thrombolysis and etiology may achieve better results.