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Intravascular therapy for hemorrhagic thrombosis in cerebral vein and sinuses
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 12
- DOI:
- 10.3760/j.issn:1001-2346.2005.12.003
- Key Word:
- 静脉窦;血栓;出血;溶栓;抗凝
Abstract： 目的探讨合并颅内出血的脑静脉和静脉窦血栓治疗方法.方法对17例患弥漫性脑静脉和静脉窦血栓合并蛛网膜下腔和脑实质内出血者,采用经颈动脉和椎动脉内间断溶栓和静脉窦内留置微导管连续溶栓5-10d;同时辅以全身抗凝治疗2年.结果治疗后经脑CT复查证实,15例颅内出血在1周内得以控制,1个月内蛛网膜下腔出血和脑内血肿均完全吸收.颅内压在治疗2周后,基本稳定在280mmH2O以下.2例颅内出血严重,于治疗3d后死亡.结论同时应用血管内溶栓和全身抗凝是治疗合并蛛网膜下腔和脑内出血的脑静脉和静脉窦血栓的较为可靠和安全的方法之一.
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