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1、•63•临床神经無学杂志2012年第25卷第I期・学术交流•脑静脉系统血栓形成的临床特点蔺春玲，叶尔克巴义•阿沙白依.杨纶先【摘要】目的探讨脑荐脉血栓形成(CVT)的临床特点c方法回嫌性分析27例CVT的临床資料。结果本组患者中25例有发稱诱因(包括妊娠或产裤期18例，高热、腹泻5例等)，平均年龄(29.7±9.3)岁；多以急性(7例,25.9%)、亜急性(19例,70.4%)起辆"以头痛为皆发症状23例(91.7%),伴呕吐21例,12例出现总识障碍，均出现不冋部位的神经功能缺损表现。怨穿CSF压力增髙21例T血常规检杳异常22例(81.5%),®血功
2、能异常13例(4&2%)。影像学检杏〔CT、MRl、MRfl»脉血管成像(、1RV)］显乐•均有不同程度的颅内挣脉或静脉奚受累，其中上矢状銮受累最务(77.8%)。24例采用肝索抗凝治疗,2例用溶检治疗°17例痊愈,4例好转,6例死亡(其中4例并发出血性梗死,2例伴大脑大静脉血栓形成)。结论CVT堆发于循环血液不足及血液高凝状杰，以急性或亚急性起病•主要农现为颅内压增高综合征，死亡申较高；HR1和MRA是早期诊斷的有效手段,早期肝素抗凝治疗町取得良好疗效°【关竇词】拖静肘:血栓形成；诊断；临床特点［中囹分类号】R743.2【文献标识阳1A【文韋编号门00
3、4・1648(2012)010)63~03ClinicalfeaturesofcerebralvenousthrombosisUNChunking,YeErkeba)i-(uhabaiyi.YANGIjm-xian.DepartmentofNeurologytXinjiangYiliFriendshipHospital,Yining835000^ChinaAbstract:ObjectiveToexploretheclinicalfruturesofcerebralvenousthrombo^iB(CVT).Methods'Hwclinicaldatao
4、f27CVTpatienUwererelro^perlivelyanalyzed.ResultsTherewere25coseshavinginducementincludingpregnnncyaridpverperurnin18CftJVS*.feveranddieirrheain5etc.Theaverageagewtw(29.7±9.3)yearsold.Mostofthemonsetwasacute(7cases,25.9%)andsubacute(19cases,70.4%)•Thecnsnsymptomwanheadachein23case
5、s(91.7%),andcombinedwithvomitingin21cases.Therewasdisturbanceofconsciousnessin12cases.Thereviwsneurologicimpairmentinlhedifferentportinallthecases.Therewere21caseswithhighCSFpressure.Bloodroutinein22cases(8L5%)andbloodclottingin13case*(48.2%)wrreabrxirnial.Theimagingexamination［(
6、CT.MRI,MRvenography(MRV),showedthaiinLnH^ranialorvuruni*ninuawereinvolvedindiflerentdegreetandthemostlyofthemwassuperiorlongitudinalsinus(77・8%).Twenty・fourcasesreceivedheparinanticoagulanttherapyfand2c^mcsreceivedthrombolytictherapy.Seventeencaseswerecured,4caseswereimproved,un<
7、l6casesweredied(including4complicatedwithhemorrhagicbraininfarctionand2ca»escomplicatedwitlicerebralgreatveinthrombosis).ConclusionsCVTisoftenseconthtrytoinsufficientcirculatingbloodvolumeandhighbloodcoagulationstate.Iheonsetisacuteorsubacutemostly.Themainmanifestation*i*increase
8、dintracranialpressuresyndrome・Themortali
