中英译文138孤立性右侧Labbe静脉
2019-4-13 来源：不详 浏览次数：次Amaninhis30swithahistoryofsicklecelldiseasepresentedtotheemergencydepartmentafterexperiencing2tonic-clonicseizures.Hereportedhavingseveralheadachesintheweekleadinguptotheseizure.Neurologicexaminationfindingswerenonfocal.Laboratorytestresultvaluesweresignificantforthefollowing:hemoglobin,11.2g/dL;meancorpuscularvolume,95.2μm;andplatelets,×/μL.ElectrophoresisrevealedahemoglobinSlevelof52%.Thepatientreportedapproximately1sicklecellcrisisperyearandhadundergonealefthipreplacementduetoavascularnecrosis.Magneticresonanceimagingrevealedalargehemorrhagicinfarctintherighttemporallobe(Figure1).TherewasasuggestionofthrombosisoftheveinofLabbe,whichwasconfirmedonmagneticresonancevenography(Figure2).Thepatientwastreatedwithphlebotomy(removalofmLofblood)andintravenoushydration,withthegoalofloweringthehemoglobinleveltolessthan10g/dL.ThrombophiliaworkupperformedwhenthepatientwasanoutpatientrevealedelevatedfactorVIIIlevels.
一名30多岁的男性镰状细胞病患者，在两次强直-痉挛发作后来到急诊室。患者诉在癫痫发作前一周有过几次头痛。神经系统查体无阳性体征。实验室检查有临床意义的结果如下：血红蛋白11.2g/dL，平均红细胞体积95.2μm3，血小板×/μL，电泳试验显示血红蛋白S水平为52%。患者诉大约每年出现1次镰形细胞危象，曾因缺血坏死行左髋关节置换术。磁共振显示右侧颞叶大面积出血性梗死（图1），提示Labbe静脉血栓，磁共振静脉成像也证实了这一点（图2）。患者接受了放血（去除了mL血液）及静脉水化治疗，将血红蛋白水平将至10g/dL以下。患者出院后接受了易栓症的检查，结果显示VIII因子水平升高。
TheveinofLabbeispartofthesuperficialvenoussystem,drainingthelateralsurfaceofthetemporallobe.Theveinarisesinthesylvianfissureandtravelsposteriorlyandinferiorlytoemptyintothetransversesinus.IsolatedveinofLabbethrombosisisrare.Todate,almostallpreviouslyreportedcaseshaveoccurredontheleft.
Labbe静脉是浅静脉系统的一部分，引流颞叶外侧面。该静脉起自外侧裂，向后下汇入横窦。孤立性Labbe静脉血栓罕见，迄今为止，几乎所有报道案例均发生于左侧。
Riskfactorsforthedevelopmentofcorticalveinthrombosisincludethrombophilia,pregnancyorperipartum,malignantneoplasm,oralcontraceptiveuse,andcentralnervoussysteminfections.Themost北京看白癜风哪家比较好北京白癜风怎么办需要多少钱能治好
