目的:探讨妊娠期和产褥期女性颅内静脉窦血栓早期诊断,避免误诊。方法:对7例青年女性患者静脉窦血栓形成误诊情况进行分析。结果:5例行DSA或MRI、MRV检查者,4例为上矢状窦栓塞,1例为右侧横窦栓塞。2例脑疝形成患者手术后发现为上矢状窦栓塞伴大脑上静脉栓塞。结论:静脉窦血栓患者发病早期在临床表现及影像学检查没有特异性,容易引起误诊。妊娠期和产褥期女性突发高颅压表现时,应高度警惕静脉窦血栓形成。 Objective: To investigate the early diagnosis of intracranial venous sinus thrombosis in pregnant women and puerperium to avoid misdiagnosis. Methods: The misdiagnosis of sinus thrombosis in 7 young female patients was analyzed. Results: Five patients underwent DSA or MRI and MRV examinations. Four patients had superior sagittal sinus embolism and one patient had right transverse sinus embolism. Two patients with herniation were found to have superior sagittal sinus embolism with supratentorial vein thrombosis after surgery. Conclusion: The incidence of sinus thrombosis in patients with early clinical manifestations and imaging is not specific, easily lead to misdiagnosis. High intracranial pressure during pregnancy and puerperium women should be highly vigilant venous sinus thrombosis.