产褥期静脉窦血栓3例诊疗探析

Diagnosis and Treatment of Three Cases of Venous Sinus Thrombosis during Puerperium

颅内静脉窦血栓(CVST)早期临床表现以恶心呕吐、头痛、视乳头水肿等单纯颅内高压症状为主,严重还可出现偏瘫、癫痫、意识障碍、视物模糊等临床表现,其临床症状一般不具有特异性,增加了早期诊断难度。产褥期为CVST形成的常见危险因素。本次研究以收治的3例产褥期CVST患者为例(2例来自联勤保障部队第904医院,1例来自无锡市第九人民医院),探究了CVST形成的临床特点,以为临床医师早期诊断及鉴别诊断提供参考。

The early clinical manifestations of cerebral venous sinus thrombosis(CVST) are mainly simple intracranial hypertension such as nausea, vomiting, headache, and papillary edema, and in several cases severe clinical manifestations such as hemiplegia, epilepsy, disturbance of consciousness and blurred vision may occur. Its clinical symptoms are generally not specific, which increase the difficulty of early diagnosis. The puerperium is a common risk factor for CVST. In this study, three patients with cerebral venous sinus thrombosis treated were taken as cases(two cases from the PLA 904 Hospital, one case from the Wuxi Ninth People’s Hospital). The clinical and imaging characteristics of cerebral venous sinus thrombosis were explored to provide a reference for early identification of clinicians.