以急性脑梗死为首发表现的隐匿性恶性肿瘤患者13例临床特点总结

发布时间：2018-03-08 02:28

  本文选题：脑梗死　切入点：隐匿性恶性肿瘤　出处：《国际神经病学神经外科学杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的研究并总结以急性脑梗死为首发表现的隐匿性恶性肿瘤患者的临床及影像学特点。方法搜集安徽医科大学第一附属医院2012年1月~2016年5月以急性脑梗死为首发表现,之后查出恶性肿瘤患者的病史、生化检查及影像学检查结果。结果共纳入13例患者,消化系统或肺部肿瘤11例(84.6%),转移11例(84.6%),肿瘤指标阳性率66.7%。D-二聚体值增高11例(91.7%),FDP值增高10例(100%)。11例(84.6%)为多发性脑梗死,脑梗死病灶累及循环个数≥2占76.9%,前后循环同时累及占61.5%,小病灶占74.7%。结论该组患者肿瘤多来源于消化系统或肺部,转移比例高。D-二聚体和FDP值明显增高,阳性率高于肿瘤指标。梗死病灶容易出现在多个循环尤其是前后循环且以小病灶为主。
[Abstract]:Objective to study and summarize the clinical and imaging features of occult malignant tumors with acute cerebral infarction (ACI). Methods the first affiliated Hospital of Anhui Medical University from January 2012 to May 2016 had acute cerebral infarction as the first manifestation. The history, biochemical and imaging findings of patients with malignant tumors were then found. Results 13 patients were included. Multiple cerebral infarction was found in 11 cases of digestive system or lung tumor, 11 cases of metastasis, and 11 cases of metastasis. The positive rate of tumor index was 66.7 .D- dimer value was increased in 11 cases. The FDP value was increased in 10 cases (10 cases, 100%). 11 cases (84.6%) were found to have multiple cerebral infarction, the positive rate of tumor index was 66.7%, and the value of D- dimer was increased in 11 cases. The number of circulatory involvement 鈮，

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