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中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (03) : 297 -301. doi: 10.11817/j.issn.1673-9248.2023.03.019

病例报告

肺癌并发特鲁索综合征一例并文献复习
吴宇鹏, 李中中, 傅新民()   
  1. 233000 安徽蚌埠,蚌埠医学院研究生院
    056000 河北石家庄,河北医科大学第二医院神经内科
    233000 安徽蚌埠,蚌埠医学院研究生院;221009 徐州市中心医院神经内科
  • 收稿日期:2022-07-15 出版日期:2023-06-01
  • 通信作者: 傅新民

Lung cancer complicated with Trousseau syndrome: a case report and literature review

Yupeng Wu, Zhongzhong Li, Xinmin Fu()   

  • Received:2022-07-15 Published:2023-06-01
  • Corresponding author: Xinmin Fu
引用本文:

吴宇鹏, 李中中, 傅新民. 肺癌并发特鲁索综合征一例并文献复习[J]. 中华脑血管病杂志(电子版), 2023, 17(03): 297-301.

Yupeng Wu, Zhongzhong Li, Xinmin Fu. Lung cancer complicated with Trousseau syndrome: a case report and literature review[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(03): 297-301.

图1 患者CT引导下右肺下叶穿刺的病理图。图a为细胞学涂片(×400),可见片状及散在的核大、染色质粗、核仁明显、胞浆丰富、形态异形的细胞;图b为组织学诊断穿刺(×40),示腺癌 图2 患者肺部增强CT图片。示右肺下叶占位性病变,两肺内多发结节
图3 患者术前评估影像图片。图a为CT血管成像,提示右侧大脑中动脉M1段以远主干及分支闭塞;图b为CT颅脑灌注提示右侧大脑半球梗死前低灌注Ⅱ1期;图c为人工智能软件分析提示核心梗死区(红色)及缺血半暗带(绿色)
图4 患者术后复查影像学图。图a为颅脑核磁平扫示两侧小脑、额顶叶、放射冠、右侧丘脑、基底节及颞枕叶见多异常信号,部分弥散受限,多发急性梗死灶可能(特鲁索综合征?);图b为颅脑核磁血管成像未见明确血管狭窄及瘤样扩张
图 5 患者的栓子病理图。图a为较小块栓子提示为白色血栓;图b为较大块栓子提示为红色血栓 图6 患者住院期间D-D及FDP变化。注:D-D为D-二聚体;FDP为纤维蛋白(原)降解产物
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