癌症患者的呼吸衰竭：肺血栓性微血管病。
Respiratory failure in a cancer patient: pulmonary thrombotic microangiopathy.
机构信息
University Hospital Llandough, Cardiff, UK.
University Hospital Llandough, Cardiff, UK
出版信息
Clin Med (Lond). 2020 Jul;20(4):430-432. doi: 10.7861/clinmed.2020-0102.
Abstract
The hypoxic patient with a normal chest X-ray can be a diagnostic challenge. This case illustrates the rational diagnostic process and describes a relatively rare but important complication of cancer metastasis. Thrombotic microangiopathy, like lymphangitis carcinomatosa, may cause respiratory failure and is a poor prognostic finding. However, unlike lymphangitis carcinomatosa, it may not have specific findings on cross-sectional imaging.
摘要
对于 X 射线胸片正常的缺氧患者，诊断可能具有挑战性。本病例说明了合理的诊断过程，并描述了癌症转移的一种相对罕见但重要的并发症。血栓性微血管病，如癌淋巴管炎，可能导致呼吸衰竭，是预后不良的表现。然而，与癌淋巴管炎不同，它在影像学上可能没有特异性表现。
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