育龄期女性颅内静脉窦血栓形成的研究

Study on women of reproductive age with cerebral venous sinus thrombosis

目的:针对育龄期女性颅内静脉窦血栓形成的易患因素及治疗进行研究。方法:回顾性分析18例育龄期女性颅内静脉窦血栓患者内科治疗的临床资料。结果:18例患者中妊娠期1例,产后13例,口服避孕药史者3例,服用减肥药史者1例,以头疼、癫痫、视力障碍为主要症状。经治疗后患者临床症状明显改善,疗效稳定。结论:育龄期女性颅内静脉窦血栓形成与妊娠、分娩、口服避孕药等所致血液高凝状态、血液滞流有关。抗凝、溶栓治疗有较高疗效。

Objective To study the predisposing factors and effects of cerebral venous sinus thrombosis （CVST） in women of reproductive age. Method Clinical data of 18 women of reproductive age with CVST was analyzed. Results Among 18 cases,1 was in pregnant period, 13 in puerperium, 3 used oral contraceptive, and 1 used loseweight medicine. Headacbe and visual disturbance were the main symptoms. The clinical symptoms improved rapidly after therapy, and the effect was steady. Comclusion CVST in women of reproductive age is related to blood high coagulation state duo to peipartum period and oral contraceptive use. The anticoagulation therapy has an excellent effect.