论文部分内容阅读
目的提高对肺癌合并血栓栓塞性疾病的认识。方法对1995—2004年中国医科大学附属第二医院的18例肺癌合并血栓栓塞性疾病病例进行回顾性临床分析。结果肺癌并发下肢深静脉血栓形成(DVT)7例;并发肺血栓栓塞(PTE)3例;4例同时并发DVT与PTE;并发伴动脉栓塞的无菌性血栓性心内膜炎(NBTE)4例。其中5例DVT和(或)PTE发生于肺癌确诊前2~6个月,3例NBTE于肺癌确诊前2~7个月出现脑栓塞或周围动脉栓塞表现。结论血栓栓塞性疾病是肺癌的晚期表现,在肺癌治疗过程中一旦发现血栓栓塞性疾病,可提示疾病进展。
Objective To improve the understanding of thromboembolic diseases associated with lung cancer. Methods Retrospective clinical analysis of 18 cases of thromboembolic diseases with lung cancer in the Second Affiliated Hospital of China Medical University from 1995 to 2004 was retrospectively analyzed. Results Thoracic deep venous thrombosis (DVT) in 7 cases were complicated with pulmonary thromboembolism (PTE) in 3 cases. 4 cases were complicated with DVT and PTE. Aseptic thromboembolic endocarditis (NBTE) 4 complicated with arterial embolism example. 5 cases of DVT and / or PTE occurred 2 to 6 months before the diagnosis of lung cancer, and 3 cases of NBTE showed cerebral embolism or peripheral arterial embolism 2 to 7 months before the diagnosis of lung cancer. Conclusions Thromboembolic disease is an advanced manifestation of lung cancer. Once thromboembolic diseases are found during the treatment of lung cancer, the progress of the disease may be indicated.