Cerebral Venous Thrombosis - A New Diagnosis in Travel Medicine?
Cerebral Venous Thrombosis - A New Diagnosis in Travel Medicine?
复制标题
脑静脉血栓形成——旅行医学的新诊断？
DOI：
10.1111/j.1708-8305.1996.tb00732.x
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发表时间：
1996
影响因子：
25.7
通讯作者：
Schmutzhard
中科院分区：
文献类型：
--
作者：
Pfausler;Vollert;Bösch;Schmutzhard
脑静脉血栓形成是一种与许多疾病过程相关的综合征。成人中最常见的报告原因是口服避孕药、妊娠和产后并发症、系统性恶性肿瘤、感染在过去20年报告的成人病例中，约有20%没有确定病因脑静脉血栓形成可由类似的机制引起，例如发生在身体其他部位的静脉血栓形成，例如，由于炎症、感染或恶性细胞侵袭引起的血管壁改变，以及由于脱水和血液凝固性改变引起的血流变化（例如，口服避孕药的使用）。PC Gates和HJM Barnett列出了38种经血管造影或尸检证实的脑静脉血栓形成的原因。他们的清单上有一项是脱水/高热最近有报道称，长途航空旅行者中发生了隐静脉或股髂静脉血栓我们想报告5例（15例中的5例）脑静脉血栓形成与单独的长途航空旅行、航空旅行和腹泻或航空旅行和暴露于热带高温有关。
Cerebral venous thrombosis is a syndrome seen in association with a large number of disease processes. The commonest reported causes in adults are oral contraception,1 pregnancy and complications associated with the postpartum period,2 systemic malignancy,3 and infection.4 In approximately 20% of adult cases reported during the past 20 years no etiology was established.5 Cerebral venous thrombosis can be caused by similar mechanisms, such as venous thrombosis, occurring elsewhere in the body, e.g., blood vessel wall alterations attributable to inflammation, infection, or invasion of malignant cells, as well as from changes in blood flow due to dehydration and changes in the coagulability of the blood (e.g., from use of oral contraception). PC Gates and HJM Barnett list 38 causes of cerebral venous thrombosis that were proven by angiography or autopsy. One item on their list was dehydration/ hyperpyrexia.5 Recently thrombosis of the venae saphena or femoralis/iliaca has been reported to occur in long distance air travelers.6 We would like to report on five patients (out of 15) in whom cerebral venous thrombosis was causatively linked with either long distance air travel alone, air travel and diarrhea, or air travel and exposure to tropical heat.