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目的分析颅内静脉窦血栓形成继发颅内出血的溶栓治疗效果。方法 13例颅内静脉窦血栓形成继发颅内出血患者,均采用低分子肝素抗凝联合静脉窦局部溶栓治疗,观察治疗效果。结果术后随访12周,10例患者完全恢复,2例患者遗留癫痫后遗症,1例患者因抢救无效死亡,死亡原因为脑疝导致呼吸心跳停止。结论颅内静脉窦血栓形成继发颅内出血患者采用局部溶栓治疗具有比较理想的效果,安全可靠,能对预后进行有效改善。
Objective To analyze the effect of thrombolytic therapy for intracranial hemorrhage secondary to intracranial venous sinus thrombosis. Methods Thirteen patients with intracranial venous sinus thrombosis secondary to intracranial hemorrhage were treated with low-molecular-weight heparin anticoagulation combined with local thrombolytic therapy of venous sinus. The therapeutic effect was observed. Results After 12 weeks of follow-up, 10 patients recovered completely, 2 patients had sequelae of epilepsy, 1 patient died of resuscitation inefaction, and the cause of death was cerebral hernia, which caused the respiration to stop. Conclusion Intravenous thrombosis with intracranial hemorrhage in patients with intracranial hemorrhage by local thrombolytic therapy has an ideal effect, safe and reliable, can effectively improve the prognosis.