妊娠并发颅内静脉窦血栓形成1例并文献复习

A Case of Pregnancy-Induced Cerebral Venous Sinus Thrombosis and Literature Review

目的:分析妊娠并发颅内静脉窦血栓形成患者1例的发病特点、临床特征、治疗方法及预后,并进行相关文献复习。方法:通过对患者进行相关资料收集并对该病的相关知识进行文献复习。结果:患者以头痛并发右侧肢体活动不灵入院,入院予抗凝及血管内介入治疗,术后7 d突发呼吸循环衰竭死亡。结论:颅内静脉窦血栓好发于中青年及育龄期女性,多以头痛起病,易累及上矢状窦,其次是横窦、乙状窦,发病尽早诊断及规律治疗,多数患者预后较好。

Objective:To analyze the characteristics,clinical features,treatment methods and prognosis of a case of pregnancy complicated with cerebral venous sinus thrombosis(CVST)and review the relevant literature.Methods:Literature review was carried out on the relevant knowledge of the disease through the collection of relevant data of patients.Results:The patient was admitted with headache combined with poor right limb activity,given anticoagulation and endovascular intervention,and died of sudden respiratory circulation failure 7 days after surgery.Conclusion:CVST is most often diagnosed in young and middle-aged people and women of childbearing age.It usually starts with headache and easily affects the superior sagittal sinus,followed by transverse sinus and sigmoid sinus.Most of the patients had good prognosis with timely diagnosis and regular treatment.