Misz M, Szabó A, Bátonyi E, Tompa G, Papp L
MMW Munch Med Wochenschr. 1975 Feb 21;117(8):287-90.
The two cases reported here were clinically misleading because of the negative history. A 49-year-old woman was treated for thrombosis migrans of the vena cava and a consumption coagulopathy; a 15-year-old boy for gastro-intestinal hemorrhages and hematemesis with fibrinolysis syndrome. Since the coagulation disturbances did not subside in spite of the treatment, an exploratory laparotomy was performed which revealed a solid carcinoma of the stomach in both cases. The hemorrhagic tendency can be traced back to the coagulation accelerator factors which escape from the tumor and metastases into the blood.
此处报告的两例病例因病史阴性而在临床上具有误导性。一名49岁女性因腔静脉游走性血栓形成和消耗性凝血病接受治疗；一名15岁男孩因胃肠出血和呕血伴纤维蛋白溶解综合征接受治疗。尽管进行了治疗，但凝血紊乱仍未消退，于是进行了剖腹探查术，结果在两例病例中均发现了胃实体癌。出血倾向可追溯到从肿瘤和转移灶逸入血液的促凝因子。
