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目的:探讨颅内静脉系统血栓形成(CVT)的临床表现、影像学特征以及治疗方法对临床诊断的意义。方法:回顾性分析首都医科大学宣武医院收治的6例CVT患者的临床表现及影像学特征与治疗方法。结果:6例临床表现无特殊,4例经MRI+MRV确诊,3例DSA检查确诊,1例介入治疗,4例抗凝治疗,2例保守,无死亡患者。结论:静脉系统血栓形成临床症状缺乏特异性,临床遇到急性起病的头痛、呕吐,伴或不伴有局灶性神经功能缺损或癫痫发作、意识障碍的青中年人,应高度怀疑CVT。早期应用抗凝、溶栓等治疗方法,对改善预后具有较高的临床应用价值。
Objective: To investigate the clinical manifestations, imaging features and the therapeutic value of intracranial venous thrombosis (CVT) in clinical diagnosis. Methods: The clinical manifestations, imaging features and treatment of 6 patients with CVT admitted to Xuanwu Hospital of Capital Medical University were retrospectively analyzed. Results: There were no clinical manifestations in 6 cases. Four cases were confirmed by MRI and MRV. Three cases were diagnosed by DSA. One case was treated by interventional therapy. Four cases were anticoagulant therapy and two cases were conservative without death. CONCLUSIONS: The clinical symptoms of venous thrombosis are not specific. Young middle-aged adults with acute onset of headache, vomiting, or with or without focal neurological deficits or seizures and disturbance of consciousness should have a high suspicion of CVT . Early application of anticoagulation, thrombolysis and other treatment methods, to improve the prognosis has a high clinical value.