创伤性静脉鼻血栓:主要创伤中心的患者和实践模式
Deborah L Huang1, Ritwik Bhatia2, Rubinee Simmasalam2
1Department of Neurology, University of California San Francisco, San Francisco, CA, USA. DeborahLhuang@gmail.com.
Neurocritical care
|May 22, 2025
概括
创伤性静脉鼻血栓塞 (tVST) 与头部受伤和头骨骨折有关. 管理有所不同,保守治疗显示出较少的出血并发症,但最佳策略需要进一步研究.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性脑损伤 (TBI) 可以导致静脉鼻损伤和血栓形成 (tVST).
- tVST与内压升高和患者表现不佳有关.
- 了解tVST的风险因素,管理和结果至关重要.
研究的目的:
- 检查创伤性静脉鼻血栓 (tVST) 的危险因素,管理策略和临床结果.
主要方法:
- 在2013年至2022年间通过计算机断层扫描诊断出tVST的112名患者的回顾性分析.
- 通过对相关术语的机构放射学数据库搜索来识别患者.
- 诊断得到了一位经过董事会认证的神经放射学家的确认.
主要成果:
- 队列 (n=112) 主要是男性 (76.8%),平均年龄为44岁,经常出现头骨骨折 (97.3%).
- 对tVST的治疗方法包括抗凝血 (13.4%),抗血小板治疗 (34.8%) 或保守管理 (51.8%).
- 6个月后,有50%的患者发生了静脉鼻再通道化;然而,与保守管理相比,抗凝和抗血小板组的出血并发症较高.
结论:
- 对tVST的治疗选择显示出显著的选择偏差和根据指示的混.
- 观察到监测和治疗实践中的异质性.
- 需要进一步的研究,以建立tVST的最佳管理准则.
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