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目的:探讨脑静脉窦血栓形成(CVST)的病因、临床特点及治疗。方法:回顾性分析42例CVST患者病因、临床表现、影像学特征及脑脊液结结果等。结果:(1)临床表现缺乏特异性,易漏诊或误诊。(2)常见症状头痛、呕吐和(或)神经功能障碍。(3)年轻患者及女性多发。结论:CVST病因复杂,起病形式多样,临床表现无特异性,因此对可疑患者尽早CT、MRI及MRV检查。早期溶栓及抗凝治疗是安全、有效的治疗手段。
Objective: To explore the etiology, clinical features and treatment of cerebral venous sinus thrombosis (CVST). Methods: Retrospective analysis of 42 CVST patients etiology, clinical manifestations, imaging features and results of cerebrospinal fluid. Results: (1) The clinical manifestations of the lack of specificity, easy to missed diagnosis or misdiagnosis. (2) common symptoms headache, vomiting and (or) nerve dysfunction. (3) young patients and multiple women. Conclusion: The etiology of CVST is complex, with various forms of onset and no specific clinical manifestations. Therefore, CT, MRI and MRV examination of suspicious patients as soon as possible. Early thrombolysis and anticoagulant therapy is a safe and effective treatment.