›› 2010, Vol. 5 ›› Issue (01): 46-50.

• 论著 • 上一篇    下一篇

上矢状窦血栓形成11 例临床分析

常大伟1,谭俊杰1,刘天明2   

  1. 辽宁省沈阳市辽宁省血栓病中西医结合医疗中心神经内科沈阳市第九人民医院急诊科
  • 收稿日期:2009-05-25 修回日期:2009-04-25 出版日期:2010-01-20 发布日期:2010-01-20
  • 通讯作者: 常大伟

Clinical Analysis of 11 Cases of Superior Sagittal Sinus Thrombosis

CHANG Da-Wei,TAN Jun-Jie, LIU Tian-Ming.   

  • Received:2009-05-25 Revised:2009-04-25 Online:2010-01-20 Published:2010-01-20
  • Contact: CHANG Da-wei

摘要: 目的 探讨上矢状窦血栓形成的病因、诊断和治疗方面的特点。方法 回顾11例上矢状窦血栓形成患者的病历资料,对其发病诱因、临床表现、诊断和治疗进行分析总结。结果 11例患者中有9例有明确诱因;常见的表现有颅内压增高症状、局灶性神经功能缺失、癫发作等;颅脑磁共振扫面可见特征性改变;9例抗凝治疗好转,2例死于脑疝。结论 上矢状窦血栓形成患者多有明显的诱因,临床表现各异,低分子肝素抗凝治疗的患者预后较好。

关键词: 矢状窦血栓形成; 磁共振成像; 诊断; 治疗

Abstract: Objective To explore the etiopathogenisis, diagnosis, clinical manifestation and treatments ofsuperior sagittal sinus thrombosis(SSST).Methods The clinical data of 11 patients with SSST, including course, symptoms, risk factors,image findings and treatmens, was analyzed retrospectively.Results Among 11 cases, 7 cases has risk factors.The most common symptoms were performanceof intracranial hypertension, limb paralysis and seizures. Head MRI showed abnormal signals onthe sagittal sinus. Nine cases imploved in clinical symptoms and 2 cases died caused by cerebralherniation.Conclusion The clinical manifestation of SSST was various and nonspecific,most patients hao riskfactors. low-molecular-weight heparin showed a relatively confirmative effect in SSST patients.

Key words: Sagittal sinus thrombosis; Magnetic resonance imaging; Diagnosis; Therapy