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以反复多灶性脑梗死起病的胆管细胞癌致特鲁索综合征1例

A case of trousseau syndrome caused by cholangiocarcinoma with recurrent multifocal cerebral infarction
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摘要 恶性肿瘤相关的凝血机制异常所致的临床综合征称为特鲁索综合征(TS)。目前由胆管细胞癌所致的TS在临床上并不多见,其具有临床复发率高、致残率高、死亡率高且预后极差的特点,因此,及时诊断和分层管理对于改善患者的预后至关重要。本文报道了1例急性脑梗死为首发症状的胆管细胞癌患者的临床特征、诊治特点及血栓栓塞事件对患者的影响,为提高临床诊断率及鉴别诊断提供参考。 The clinical syndrome caused by abnormal coagulation mechanisms related to malignant tumor is called Trousseau syndrome(TS).Currently,TS caused by cholangiocarcinoma is rare in the clinical.It has the characteristics of a high clinical recurrence rate,a high disability rate,a high mortality rate,and a poor prognosis.Therefore,timely diagnosis and hierarchical management of patients are crucial in improving patient prognosis.This article reports the clinical characteristics,diagnosis and treatment features,and the impact of thromboembolic events on patients with cholangiocarcinoma presenting with acute cerebral infarction as the initial symptom,in order to provide a reference for improving the clinical diagnosis rate and differential diagnosis.
作者 袁芳 仲秀艳 YUANFang;ZHONGXiuyan(The First Clinical Medical College,Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang 550002,China;Internal Medicine of Neurology,the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang 550001,China)
出处 《中国医药导报》 2025年第20期191-196,共6页 China Medical Herald
关键词 急性脑梗死 特鲁索综合征 胆管细胞癌 高凝状态 Acute cerebral infarction Trousseau syndrome Cholangiocarcinoma Hypercoagulable state
作者简介 袁芳(1998-),女,贵州中医药大学第一临床医学院2023级中医内科学专业在读硕士研究生,研究方向:中医药防治脑病;通讯作者:仲秀艳(1980-),女,博士,副主任医师,研究方向:中医药防治脑病。
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