[1]郭新宾,范一木,管 生.介入微导管窦内溶栓治疗产后重症静脉窦血栓[J].介入放射学杂志,2013,(04):271-273.
 GUO Xin- bin,FAN Yi- mu,GUAN Shen..Percutaneous intra- sinus thrombolysis by using urokinase perfusion via a microcatheter for the treatment of severe cerebral venous sinus thrombosis occurring during puerperous period[J].journal interventional radiology,2013,(04):271-273.
点击复制

介入微导管窦内溶栓治疗产后重症静脉窦血栓()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年04期
页码:
271-273
栏目:
神经介入
出版日期:
2013-04-17

文章信息/Info

Title:
Percutaneous intra- sinus thrombolysis by using urokinase perfusion via a microcatheter for the treatment of severe cerebral venous sinus thrombosis occurring during puerperous period
作者:
郭新宾 范一木 管 生
Author(s):
GUO Xin- bin FAN Yi- mu GUAN Shen.
Department of Interventional Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
关键词:
【关键词】 静脉窦血栓 介入治疗 溶栓 产后
文献标志码:
A
摘要:
【摘要】 目的 探讨和评价应用介入微导管窦内溶栓治疗产后重型脑静脉窦血栓的疗效。方法 2008年5月至2011年6月收治11例产后重型脑静脉窦血栓形成患者,采用微导管置入静脉窦血栓内,使用尿激酶溶栓。术后2周采用磁共振静脉造影(MRV)评价溶栓后静脉窦通畅情况。结果 出院前11例患者腰椎穿刺时脑脊液压在200 mmH2O以下,MRV检查证实9例静脉窦主干完全通畅,皮层静脉和深静脉恢复正常;2例部分通畅,皮层静脉和深静脉部分代偿。9例患者的症状、体征完全改善,2例留有肢体功能障碍。结论 应用血管内静脉微导管溶栓治疗重型脑静脉窦血栓形成是一种安全、有效的治疗手段。

参考文献/References:

[1] de Bruijn SF, Stam J. Randomized, placebo?蛳 controlled trial of anticoagulant treatment with low?蛳 molecular?蛳 weight heparin for cerebral sinus thrombosis[J]. Stroke, 1999, 30: 484 ?蛳 488.[2] 汪丽萍, 钟 梅, 裘毓雯, 等. 妇产科颅内静脉窦血栓形成26例临床分析[J]. 中国实用妇产科与产科杂志, 2008, 24: 843 ?蛳 845.[3] Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2011, 42: 1158 ?蛳 1192.[4] Zhou Q, Wang FY, Zhang P, et al. Clinical characteristics and outcomes of cerebral venous sinus thrombosis during pregnancy and puerperium[J]. Zhonghua Fu Chan Ke Za Zhi, 2010, 45: 358 ?蛳 362.[5] Yue X, Xi G, Zhou Z, et al. Combined intraarterial and intravenous thrombolysis for severe cerebral venous sinus thrombosis[J]. J Thromb Thrombolysis, 2010, 29: 361 ?蛳 367.[6] Filippidis A, Kapsalaki E, Patramani G, et al. Cerebral venous sinus thrombosis: review of the demographics, pathophysiology, current diagnosis, and treatment[J]. Neurosurg Focus, 2009, 27: E3.[7] Novy J, Ballhausen D, Bonafé L, et al. Recurrent postpartum cerebral sinus vein thrombosis as a presentation of cystathionine?蛳 beta?蛳 synthase deficiency[J]. Thromb Haemost, 2010, 103: 871 ?蛳 873.[8] Rahman M, Velat GJ, Hoh BL, et al. Direct thrombolysis for cerebral venous sinus thrombosis[J]. Neurosurg Focus, 2009, 27: E7.[9] Kumar S, Rajshekher G, Reddy CR, et al. Intrasinus thrombo?蛳 lysis in cerebral venous sinus thrombosis: single?蛳 center experience in 19 patients[J]. Neurol India, 2010, 58: 225 ?蛳 229.[10] Wasay M, Bakshi R, Kojan S, et al. Nonrandomized comparison of local urokinase thrombolysis versus systemic heparin anticoagulation for superior sagittal sinus thrombosis[J]. Stroke, 2001, 32: 2310 ?蛳 2317.

相似文献/References:

[1]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[2]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[3]张海潇,顾俊鹏,迪里木拉提·巴吾冬,等.下肢缺血性疾病介入治疗的临床疗效分析[J].介入放射学杂志,2012,(02):111.
 ZHANG Hai-xiao,GU Jun-peng,BAWUDUN·Dilmurat,et al.Interventional therapy of lower limb ischemic diseases: a clinical therapeutic analysis[J].journal interventional radiology,2012,(04):111.
[4]何乾文,何远忠,罗来华,等.自制简易碘油推送器[J].介入放射学杂志,2000,(03):134.
[5]黄求理,宋侃侃,吴安乐,等.急性肢体动脉闭塞的血管内介入治疗[J].介入放射学杂志,2000,(03):155.
[6]陈伟敏,付晶,张树华,等.大剂量醛氢叶酸与5-氟尿嘧啶介入治疗晚期胃肠道癌[J].介入放射学杂志,2000,(03):181.
[7]郭添胜,姜在波,黄明声,等.原发性肝癌合并糖尿病介入治疗的围手术期处理[J].介入放射学杂志,2000,(03):182.
[8]张根山,周胜利,张旭.原发性肝癌合并脾功能亢进的介入治疗[J].介入放射学杂志,2000,(03):183.
[9]高爱荣,孙丰敏.血管内栓塞治疗脑动静脉畸形的护理[J].介入放射学杂志,2000,(03):138.
[10]王兴华,朱汉洲,李立.腹部手术后消化道出血的介入诊断与治疗[J].介入放射学杂志,2000,(04):240.

备注/Memo

备注/Memo:
(收稿日期:2012-10-22)
更新日期/Last Update: