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与非霍奇金淋巴瘤相关的非血栓性肺栓塞

Nonthrombotic Pulmonary Embolism Associated With Non-Hodgkin Lymphoma.

作者信息

Gil-García Cesar-Alejandro, Cueto-Robledo Guillermo, Gonzalez-Hermosillo Leslie-Marisol, Alfaro-Cruz Ana, Roldan-Valadez Ernesto

机构信息

Faculty of Medicine, Autonomous University of Sinaloa, Los Mochis, Sinaloa, México; Directorate of Research, General Hospital of Mexico "Dr. Eduardo Liceaga," Mexico City, Mexico.

Cardiorespiratory Emergencies, General Hospital of Mexico "Dr. Eduardo Liceaga", Mexico City, Mexico; Pulmonary Circulation Clinic, General Hospital of Mexico "Dr. Eduardo Liceaga", Mexico City, Mexico; Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.

出版信息

Curr Probl Cardiol. 2023 Dec;48(12):102001. doi: 10.1016/j.cpcardiol.2023.102001. Epub 2023 Jul 26.

Abstract

Nonthrombotic pulmonary embolism (NTPE) challenges the medical community with its diverse etiologies and potential life-threatening implications. The classification section delves into the multifaceted nature of NTPE, which includes various embolic agents that traverse the vascular system. From air and fat emboli to tumor and amniotic fluid emboli, this exploration of diverse etiologies sheds light on the complexity of NTPE. Diagnostic methods play a crucial role in the effective management of NTPE. This article describes a range of traditional and cutting-edge diagnostic techniques, from computed tomography angiography to novel biomarkers, enabling the accurate and timely identification of NTPE. NTPE treatment options are diverse and patient-specific, requiring customized approaches to address varying embolic sources. Anticoagulation, embolus removal, and emerging interventions under study are discussed, providing clinicians with a comprehensive understanding of management strategies. This article uncovers the rare but captivating association between NTPE and non-Hodgkin lymphoma. Although rare, documented cases have sparked curiosity among researchers and medical practitioners. We explore potential pathophysiological connections, discussing challenges and considerations when encountering this unique scenario. In conclusion, this captivating review encapsulates the multifaceted realm of NTPE, covering its classification, diagnostics, and treatment modalities. Moreover, it presents a fascinating connection with non-Hodgkin lymphoma. This article offers a comprehensive and concise review of NTPE, guiding readers through its intricate classification, diagnostic approaches, and therapeutic interventions.

摘要

非血栓性肺栓塞(NTPE)因其多样的病因和潜在的危及生命的影响而给医学界带来了挑战。分类部分深入探讨了NTPE的多面性,其中包括穿越血管系统的各种栓子。从空气和脂肪栓子到肿瘤和羊水栓子,对这些多样病因的探索揭示了NTPE的复杂性。诊断方法在NTPE的有效管理中起着至关重要的作用。本文描述了一系列传统和前沿的诊断技术,从计算机断层扫描血管造影到新型生物标志物,能够准确及时地识别NTPE。NTPE的治疗选择多种多样且因人而异,需要定制方法来应对不同的栓子来源。文中讨论了抗凝、栓子清除以及正在研究的新干预措施,为临床医生提供了对管理策略的全面理解。本文揭示了NTPE与非霍奇金淋巴瘤之间罕见但引人入胜的关联。尽管罕见,但已记录的病例引发了研究人员和医学从业者的好奇心。我们探讨了潜在的病理生理联系,讨论了遇到这种独特情况时的挑战和注意事项。总之,这篇引人入胜的综述概括了NTPE的多面领域,涵盖了其分类、诊断和治疗方式。此外,它还呈现了与非霍奇金淋巴瘤的迷人联系。本文对NTPE进行了全面而简洁的综述,引导读者了解其复杂的分类、诊断方法和治疗干预措施。

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