摘要
恶性肿瘤可明显增加缺血性卒中的发生风险,而缺血性卒中会加重肿瘤患者病情,是患者非肿瘤性死亡的重要原因。肿瘤相关性缺血性卒中(cancer-associated ischemic stroke,CAIS)发病机制复杂,预后差。早期识别和综合管理CAIS对改善患者预后有重要意义。本文报道1例胆管细胞癌相关性缺血性卒中病例的诊治过程,并结合文献复习,阐述CAIS的发病机制、临床特征、治疗与预后,为临床提供借鉴。
Malignant tumors can significantly increase the risk of ischemic stroke,and ischemic stroke can exacerbate the condition of tumor patients,making it an important cause of non-neoplastic deaths.The pathogenesis of cancer-associated ischemic stroke(CAIS)is complex,with a generally poor prognosis.Therefore,early identification and comprehensive management of CAIS are of great significance for improving the prognosis of patients.This article reported the diagnosis and treatment process of a case of cholangiocarcinoma-associated ischemic stroke.Combined with literature review,the pathogenesis,clinical characteristics,treatment,and prognosis of CAIS were expounded,providing a reference for clinical practice.
作者
韦静雯
宋萍萍
丁燕
张玉生
WEI Jingwen;SONG Pingping;DING Yan;ZHANG Yusheng(Department of Neurology,The First Affiliated Hospital of Jinan University,Guangzhou 510630,China)
出处
《中国卒中杂志》
北大核心
2025年第2期158-162,共5页
Chinese Journal of Stroke
基金
广东省自然科学基金面上项目(2020A1515011249)中央高校基本科研业务费专项资金资助(21620406)广州市科技计划项目(2023A03J0577,2023A04J1914)。
关键词
肿瘤相关性缺血性卒中
胆管细胞癌
特鲁索综合征
高凝状态
Cancer-associated ischemic stroke
Cholangiocarcinoma
Trousseau’s syndrome
Hypercoagulabale state