机械联合尿激酶行窦内溶栓治疗重症脑静脉窦血栓形成：1例报告
Intrasinus thrombolysis by mechanical and urokinase for severe cerebral venous sinus thrombosis : a case report.
作者信息
Lin Wen-Sou, Kao Hung-Wen, Hsueh Chun-Jen, Cheng Chun-An
机构信息
Department of Neurology, Kaohsiung Armed Forces General Hospital.
出版信息
Acta Neurol Taiwan. 2013 Sep;22(3):122-6.
PURPOSE
Cerebral venous and sinus thrombosis (CVST) is a rare stroke disorder, which requires prompt recognition and appropriate intervention to prevent a devastating outcome. Intrasinus thrombolysis is an alternative and effective method to anticoagulant therapy for the treatment of CVST, but is rarely used in Taiwan.
CASE REPORT
A 46-year-old man presented with a one-week history of intractable headache and progressive weakness of his right lower limb. Magnetic resonance venography of the brain confirmed a diagnosis of extensive venous sinus thrombosis. The patient was successfully treated by direct intrasinus thrombolysis with urokinase.
CONCLUSION
This case highlights the benefit of early intrasinus thrombolysis for the treatment of CVST.
目的
脑静脉窦血栓形成（CVST）是一种罕见的中风疾病，需要及时识别并采取适当干预措施以防止出现严重后果。窦内溶栓是治疗CVST的一种替代且有效的抗凝治疗方法，但在台湾很少使用。
病例报告
一名46岁男性，有一周的顽固性头痛病史及右下肢进行性无力症状。脑部磁共振静脉造影确诊为广泛静脉窦血栓形成。该患者通过用尿激酶进行直接窦内溶栓成功治愈。
结论
本病例突出了早期窦内溶栓治疗CVST的益处。
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