《颅内静脉和静脉窦血栓形成诊治的中国专家共识》解读.pdfVIP

《颅内静脉和静脉窦血栓形成诊治的中国专家共识》 解读 范一木 【 】 颅内静脉和静脉窦血栓形成是由多种原因导致的一种临床少见脑静脉系统疾病，尤以中 摘要 青年多见。由于其临床症状复杂，可以表现为头痛、呕吐、癫 发作和局灶性神经功能障碍等，极易误诊 或漏诊，病残率和病死率均较高。为推动颅内静脉和静脉窦血栓形成的规范化诊断与治疗、更好地指导 神经科医师临床实践， 年我国静脉和静脉窦血栓形成诊治的多中心专家共识组制定《颅内静脉和 2013 静脉窦血栓形成诊治的中国专家共识》，本文拟对共识的主要内容进行解读。 【 】 静脉血栓形成； 脑静脉； 窦血栓形成，颅内； 中国； 综述 关键词 The interpretation of Chinese expert consensus on diagnosis and treatment of cerebralvenousandsinusthrombosis FAN Yi⁃mu Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, China (Email: fanyimu@) 【 】 Abstract Cerebral venous and sinus thrombosis (CVST) is an infrequent cerebral venous system disease caused by a lot of reasons, which usually affects young and middle ⁃aged adults. Due to variable clinical presentations, such as headache, vomiting, epilepsy and local neurological impairment, CVST is easy to be misdiagnosed or missed in diagnosis, with a high morbidity and mortality. To improve the standard diagnosis and treatment of CVST and guide the clinical practice of neurologists and neurosurgeons, Multicenter Expert Consensus Group on Diagnosis and Treatment of Cerebral Venous and Sinus Thrombosis in China wrote the Chinese expert consensus on diagnosis and treatment of cerebral venous and sinus thrombosis in the year 2013. This paper aims to interpret the main contents of this consensus. 【 】 Key words Venous thrombosis; Cerebral veins; Sinus thrombosis, intracranial; China; Review This study was supported by Scientific and Technical Key Project of Tianjin, China (No. 13ZCZDSY01600). 颅内静脉和静脉窦血栓形成（CVST ）是临床少 《颅内静脉和静脉窦血栓形成诊治的中国专家共 ［］ 见的好发于中青年的脑血管病，占全部脑卒中的 识》（以下简称共识）7 ，旨在提高临床医师对颅内静 ［］ 0.5% ~ 1.0% 1 。由于其发病形式多样、临床表现各