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  • 李晓腾,张晓敏,董艳,侯立军.颅内静脉窦血栓治疗进展[J].第二军医大学学报,2018,39(2):188-192    [点击复制]
  • LI Xiao-teng,ZHANG Xiao-min,DONG Yan,HOU Li-jun.Progress in treatment for cerebral venous sinus thrombosis[J].Acad J Sec Mil Med Univ,2018,39(2):188-192   [点击复制]
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颅内静脉窦血栓治疗进展
李晓腾1,张晓敏2,董艳1,侯立军1*
0
(1. 第二军医大学长征医院神经外科, 上海 200003;
2. 解放军73171部队卫生队护理组, 上海 201318
*通信作者)
摘要:
颅内静脉窦血栓是一种病因复杂、临床表现多样、相对少见的脑血管疾病。以往较难做出临床诊断,也缺乏有效的治疗方法。磁共振成像和脑血管造影等神经影像学检查技术的不断进步,为该病的诊断提供了重要帮助。在治疗方面,绝大多数患者经抗凝治疗获得了满意的结果,病情较重的患者可能需要接受血管内局部溶栓和机械碎栓、取栓等治疗。本文就颅内静脉窦血栓的几种治疗方法进行综述。
关键词:  静脉窦血栓形成  颅内  抗凝  溶栓  介入治疗
DOI:10.16781/j.0258-879x.2018.02.0188
投稿时间:2017-06-30修订日期:2017-09-07
基金项目:
Progress in treatment for cerebral venous sinus thrombosis
LI Xiao-teng1,ZHANG Xiao-min2,DONG Yan1,HOU Li-jun1*
(1. Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
2. Department of Nursing, Medical Team of No. 73171 Troop of PLA, Shanghai 201318, China
*Corresponding author)
Abstract:
Cerebral venous sinus thrombosis (CVST) is a relatively rare disease with complex etiology and varied clinical characteristics. It is often difficult to make an accurate diagnosis of CVST and there is no effective treatment method. Neuroimaging techniques, including magnetic resonance imaging and cerebral angiography, have been continuously progressing and contribute to the diagnosis of CVST. Most patients respond well to systemic anticoagulation. The patients who are in a serious condition may require endovascular therapy such as local intravenous thrombolysis, mechanical thrombectomy and mechanical fragmentation. This article reviewed the therapeutic management progress of CVST.
Key words:  thrombosis of venous sinus  intracranial  anticoagulation  thrombolysis  interventional therapy