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一名患有特发性肾病综合征儿童的脑静脉窦血栓形成:病例报告及文献综述

Cerebral Venous Sinus Thrombosis in a Child With Idiopathic Nephrotic Syndrome: A Case Report and Review of the Literature.

作者信息

He Jiali, Yang Fang

机构信息

Department of Pediatrics, The First Affiliated Hospital of Jinan University, Guangzhou, CHN.

出版信息

Cureus. 2020 Oct 29;12(10):e11248. doi: 10.7759/cureus.11248.

Abstract

Cerebral venous sinus thrombosis is a rare and serious complication of nephrotic syndrome. A case of a five-year-old boy with nephrotic syndrome is described here. On the fourth day of admission, the child developed an occasional cough. A percutaneous renal biopsy was conducted to characterize the frequent-relapse nephrotic syndrome that was developed. After suspension of oral anticoagulants, the patient developed mild dizziness, headache, and vomiting. The child was diagnosed with intracranial venous sinus thrombosis based on data obtained using head computed tomography and magnetic resonance imaging. He recovered after receiving heparin and warfarin anticoagulants. We summarized the case and reviewed the literature here, showing that early diagnosis and treatment have a significant impact on the prognosis of this complication.

摘要

脑静脉窦血栓形成是肾病综合征一种罕见且严重的并发症。本文描述了一名患有肾病综合征的五岁男孩的病例。入院第四天,该患儿出现偶尔咳嗽。进行了经皮肾活检以明确所患的频繁复发型肾病综合征。停用口服抗凝剂后,患者出现轻度头晕、头痛和呕吐。根据头部计算机断层扫描和磁共振成像所获数据,该患儿被诊断为颅内静脉窦血栓形成。在接受肝素和华法林抗凝治疗后康复。我们在此总结了该病例并回顾了文献,结果表明早期诊断和治疗对该并发症的预后有重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc7c/7707130/f2a313f174f7/cureus-0012-00000011248-i01.jpg

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