《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (1): 87-89.

• 论文 • 上一篇    下一篇

肺癌的颅内外动静脉系统多发损害1 例报道

黄岳，马欣   

  1. 首都医科大学宣武医院神经内科，北京市 100053。
  • 收稿日期:2011-10-26 修回日期:2011-11-03 出版日期:2012-01-25 发布日期:2012-01-25
  • 通讯作者: 马欣

Intracranial and Extracranial Arteriovenous System Impairment after Pulmonary Cancer: 1 Case Report

HUANG Yue, MA Xin.   

  1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2011-10-26 Revised:2011-11-03 Published:2012-01-25 Online:2012-01-25

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摘要： 目的分析肺癌颅内外动静脉系统多发损害的病因。方法结合文献分析1 例肺癌所致颅内外动静脉系统多发损害患者的临床表现、实验室指标及影像特征。结果肺癌可通过引起血液高凝状态、抗凝系统异常及血管壁损伤等途径导致动静脉系统多发损害，从而出现脑梗死及下肢深静脉血栓形成等临床表现。结论肺癌继发易栓状态是颅内外血栓形成的主要原因之一。

关键词: 肺癌, 脑动脉, 静脉血栓, 病因

Abstract: Objective To analysis the etiology of intracranial and extracranial arteriovenous system impairment after pulmonary cancer.Methods A patient with pulmonary cancer with deep venous thrombosis, jugular venous thrombosis and cerebral infarction was analysed and reviewed combined with the literature. Results Pulmonary cancer could impair intracranial and extracranial arteriovenous system by hypercoagulability,anticoagulation system abnormalities and vascular wall damage, which could be manifested as cerebral infarction and deep venous thrombosis. Conclusion The hypercoagulable state secondary to pulmonary cancer is one of the main causes of intracranial and extracranial arteriovenous system thrombosis.

Key words: pulmonary cancer, cerebral arteries, venous thrombosis, pathogenesis