Schell C L, Rathe R J
West J Med. 1988 Sep;149(3):304-7.
Following treating a case of superior sagittal sinus thrombosis, we did an extensive search of the literature, eliciting 795 cases of the disorder. An analysis showed that even after the introduction of antibiotics, the preponderance of these cases have been diagnosed at autopsy. Our findings raise questions about the current methods of diagnosis and management of superior sagittal sinus thrombosis: Can the correct diagnosis be made earlier? Does a distinction between partial and complete thrombosis call for a different management?
在治疗一例上矢状窦血栓形成病例后,我们对文献进行了广泛检索,共找到795例该疾病病例。分析表明,即使在抗生素应用之后,这些病例大多仍是在尸检时才得以确诊。我们的研究结果引发了对上矢状窦血栓形成当前诊断和治疗方法的质疑:能否更早做出正确诊断?部分血栓形成和完全血栓形成的区分是否需要不同的治疗方法?