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目的:分析脑静脉窦血栓(CVST)形成的临床特征、诊疗措施及疗效。方法:分析32例CVST患者的发病形式、临床表现、影像学特征及治疗预后情况。结果:本组多为急性、亚急性起病,主要临床表现为颅高压、局灶性神经功能缺损等症状,影像学表现为静脉窦闭塞及脑梗死,治疗抗凝为主,有效29例,无效3例。结论:认识CVST的临床特征并行MRV检查是正确及时诊断的关键,抗凝是主要疗法。
Objective: To analyze the clinical characteristics, diagnosis and treatment of cerebral venous sinus thrombosis (CVST) and its curative effect. Methods: The morbidity, clinical manifestations, imaging characteristics and prognosis of 32 patients with CVST were analyzed. Results: This group mostly acute and subacute onset, the main clinical manifestations of intracranial hypertension, focal neurological deficits and other symptoms, imaging findings of sinus occlusion and cerebral infarction, the main treatment of anticoagulation, effective in 29 cases, Invalid 3 cases. Conclusions: Understanding the clinical features of CVST Parallel MRV examination is the key to correct and timely diagnosis. Anticoagulation is the main therapy.