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肿瘤相关性肺栓塞患者的突发意外死亡

Sudden unexpected death in a patient with tumour associated pulmonary embolism.

作者信息

Laohachewin D, André F, Tschaharganeh D, Katus H A, Korosoglou G

机构信息

Department of Internal Medicine III, Cardiology, Angiology, and Pulmonology, University Hospital of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.

Department of Cancer Biology and Genetics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.

出版信息

Case Rep Med. 2014;2014:396832. doi: 10.1155/2014/396832. Epub 2014 Nov 27.

DOI:10.1155/2014/396832
PMID:25525438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4265546/
Abstract

Tumour embolisms are rare and in most cases sudden causes of death. Diagnosing this rare condition is still very challenging in the daily clinical routine. In this report we present a case of a lethal sudden pulmonary tumour embolism in a 71-year-old male patient, who was admitted for elective invasive coronary angiography due to suspected coronary artery disease. The patient had suspected Ormond's disease and no previous history of tumour burden. Possible diagnostic and treatment options are discussed herein and an overview of the current literature is also presented.

摘要

肿瘤栓塞很少见，在大多数情况下是猝死的原因。在日常临床实践中，诊断这种罕见疾病仍然极具挑战性。在本报告中，我们介绍了一例71岁男性患者发生致命性突发性肺肿瘤栓塞的病例，该患者因疑似冠状动脉疾病入院接受选择性侵入性冠状动脉造影。该患者疑似患有奥蒙德病，既往无肿瘤病史。本文讨论了可能的诊断和治疗选择，并对当前文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14b9/4265546/f973bf6344d9/CRIM2014-396832.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14b9/4265546/c97f727eb8fe/CRIM2014-396832.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14b9/4265546/f973bf6344d9/CRIM2014-396832.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14b9/4265546/c97f727eb8fe/CRIM2014-396832.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14b9/4265546/f973bf6344d9/CRIM2014-396832.002.jpg

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本文引用的文献

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[Intrapulmonary tumor cell embolism from cancer of the bladder as the cause of a subacute cor pulmonale].[膀胱肿瘤肺内瘤细胞栓塞作为亚急性肺源性心脏病的病因]
Dtsch Med Wochenschr. 2001 Jul 27;126(30):847-50. doi: 10.1055/s-2001-16015.
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Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer.用于对患者肺栓塞概率进行分类的简单临床模型的推导：使用SimpliRED D-二聚体提高模型的实用性
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