本文選題：腦梗死　切入點(diǎn)：隱匿性惡性腫瘤　出處：《國際神經(jīng)病學(xué)神經(jīng)外科學(xué)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的研究并總結(jié)以急性腦梗死為首發(fā)表現(xiàn)的隱匿性惡性腫瘤患者的臨床及影像學(xué)特點(diǎn)。方法搜集安徽醫(yī)科大學(xué)第一附屬醫(yī)院2012年1月~2016年5月以急性腦梗死為首發(fā)表現(xiàn),之后查出惡性腫瘤患者的病史、生化檢查及影像學(xué)檢查結(jié)果。結(jié)果共納入13例患者,消化系統(tǒng)或肺部腫瘤11例(84.6%),轉(zhuǎn)移11例(84.6%),腫瘤指標(biāo)陽性率66.7%。D-二聚體值增高11例(91.7%),FDP值增高10例(100%)。11例(84.6%)為多發(fā)性腦梗死,腦梗死病灶累及循環(huán)個(gè)數(shù)≥2占76.9%,前后循環(huán)同時(shí)累及占61.5%,小病灶占74.7%。結(jié)論該組患者腫瘤多來源于消化系統(tǒng)或肺部,轉(zhuǎn)移比例高。D-二聚體和FDP值明顯增高,陽性率高于腫瘤指標(biāo)。梗死病灶容易出現(xiàn)在多個(gè)循環(huán)尤其是前后循環(huán)且以小病灶為主。
[Abstract]:Objective to study and summarize the clinical and imaging features of occult malignant tumors with acute cerebral infarction (ACI). Methods the first affiliated Hospital of Anhui Medical University from January 2012 to May 2016 had acute cerebral infarction as the first manifestation. The history, biochemical and imaging findings of patients with malignant tumors were then found. Results 13 patients were included. Multiple cerebral infarction was found in 11 cases of digestive system or lung tumor, 11 cases of metastasis, and 11 cases of metastasis. The positive rate of tumor index was 66.7 .D- dimer value was increased in 11 cases. The FDP value was increased in 10 cases (10 cases, 100%). 11 cases (84.6%) were found to have multiple cerebral infarction, the positive rate of tumor index was 66.7%, and the value of D- dimer was increased in 11 cases. The number of circulatory involvement 鈮，

本文編號：1582027