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一名胰腺癌患者发生致命性进行性右心衰竭。

Fatal progressive right heart failure in a pancreatic cancer patient.

作者信息

Byoun Jeong Tae, Cho Jae Young

机构信息

Department of Cardiology, Wonkwang University Hospital, Iksan, Korea.

出版信息

Yeungnam Univ J Med. 2020 Apr;37(2):122-127. doi: 10.12701/yujm.2019.00332. Epub 2019 Sep 19.

DOI:10.12701/yujm.2019.00332
PMID:31661753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7142028/
Abstract

Pulmonary tumor thrombotic microangiopathy (PTTM) is a rare but fatal complication of cancer and causes pulmonary hypertension and acute/subacute right heart failure. PTTM is most commonly associated with gastric cancer and more rarely associated with pancreatic cancer. We report a case of progressive right heart failure associated with clinically diagnosed pancreatic cancer, suggesting PTTM.

摘要

肺肿瘤血栓性微血管病（PTTM）是一种罕见但致命的癌症并发症，可导致肺动脉高压和急性/亚急性右心衰竭。PTTM最常与胃癌相关，较少与胰腺癌相关。我们报告一例与临床诊断的胰腺癌相关的进行性右心衰竭病例，提示为PTTM。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/9cc3ec718505/yujm-2019-00332f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/42d4083ca76d/yujm-2019-00332f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/025d4832e9b2/yujm-2019-00332f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/b72f3b1c776d/yujm-2019-00332f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/9cc3ec718505/yujm-2019-00332f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/42d4083ca76d/yujm-2019-00332f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/025d4832e9b2/yujm-2019-00332f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/b72f3b1c776d/yujm-2019-00332f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d5/7142028/9cc3ec718505/yujm-2019-00332f4.jpg

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本文引用的文献

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Pulmonary tumor thrombotic microangiopathy: a systematic review.肺肿瘤血栓性微血管病：一项系统评价
Pulm Circ. 2019 Apr-Jun;9(2):2045894019851000. doi: 10.1177/2045894019851000.
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8th Edition of the AJCC Cancer Staging Manual: Pancreas and Hepatobiliary Cancers.《美国癌症联合委员会（AJCC）癌症分期手册》第8版：胰腺癌和肝胆癌
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Cancer. 1990 Aug 1;66(3):587-92. doi: 10.1002/1097-0142(19900801)66:3<587::aid-cncr2820660330>3.0.co;2-j.