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目的探讨颅内静脉窦血栓形成(cerebral vein and sinus thrombosis,CVST)的病因和临床特点,分析39例患者误诊原因,提高对CVST诊治的认识。方法结合文献采用回顾性分析的方法对39例CVST患者的临床情况进行分析。结果 39例患者中,16例误诊为颅内感染,最多见;12例误诊为脑梗死,次之;5例误诊为颅内肿瘤;3例误诊为血管神经性头痛;2例误诊为眼科病;1例误诊为美尼尔氏病。结论 CVST早期易误诊、漏诊、误治,原因是该病临床表现多样,病因复杂,检查手段无特异性,开始时患者因症状差异多到不同专科就诊,而专科医师对此病认识不够。
Objective To investigate the etiology and clinical features of intracranial venous sinus thrombosis (CVST), analyze the causes of misdiagnosis in 39 patients and improve the understanding of the diagnosis and treatment of CVST. Methods The clinical data of 39 patients with CVST were analyzed retrospectively according to the literature. Results Of the 39 patients, 16 were misdiagnosed as intracranial infections, the most common were 12 cases misdiagnosed as cerebral infarction, 5 cases were misdiagnosed as intracranial tumors, 3 cases were misdiagnosed as vascular neuropathic headache and 2 cases were misdiagnosed as ophthalmological diseases One case was misdiagnosed as Meniere’s disease. Conclusion The early misdiagnosis, misdiagnosis and misdiagnosis of CVST may be caused by the fact that the clinical manifestations of the disease are complex, the etiology is complicated and the means of examination are not specific. In the beginning, the symptoms of patients with CVST are different from those of different specialties, and the specialists do not know enough about the disease.