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脑血管疾病(CVD)是肿瘤病人最常见的中枢神经系统并发症之一。其发病类型与原发肿瘤的种类有关,白血病者颅内出血的发病率极高,而实体肿瘤则以闭塞性 CVD 为常见。但肿瘤病人的CVD 常表现为弥漫性脑部损害,尤其在脑梗塞和硬膜下出血者.肿瘤者发生 CVD 的病理机制可归纳为4种类型:肿瘤的直接作用;凝血机制障碍;感染;与某些诊疗措施有关。诊断时不但要了解肿瘤类型,熟悉 CVD 的临床特征,常常还要进行头颅 CT 检查和凝血机制试验。
Cerebrovascular disease (CVD) is one of the most common central nervous system complications in cancer patients. The incidence of type and the type of primary tumor, leukemia, the incidence of intracranial hemorrhage is very high, while solid tumors are common to occlusive CVD. However, CVD patients often show diffuse brain damage, especially in patients with cerebral infarction and subdural hemorrhage.The pathological mechanism of CVD in tumor patients can be divided into four types: the direct role of the tumor; coagulation disorders; infection; And some diagnosis and treatment related. Not only to understand the type of tumor diagnosis, are familiar with the clinical features of CVD, often with head CT examination and coagulation mechanism tests.