非小细胞肺腺癌患者的复发性栓塞性卒中及瓣膜性心脏病

查看全文 作　　者：Royter [1]V;Cohen S.N.;牛亚利 机构地区：[1]8631 W. 3rd Street, Los Angeles, CA 90048, United States 出　　处：《世界核心医学期刊文摘(神经病学分册)》索引2006年第2卷第5期,共2页 摘　　要：The etiology and mechanisms of stroke could differ in cancer compared to non- cancer patients due to altered blood coagulability and/or non-bacterial thrombotic endocarditis (NBTE). These conditions could be either missed by using inappropriate diagnostic methods or misinterpreted. For instance, certain techniques (transthoracic echocardiography, TTE)may provide false-negative results and delay appropriate therapy. On the other hand, these patients, by having atypical findings, may challenge the differential between bacterial and sterile valvular heart disease. Cerebrovascular disease in cancer patients is often aggressive with tendency to recurrent events and rapid neurological devastation. Timely diagnosis is crucial. Current treatment approach to NBTE includes anticoagulation. We report a case of multiple embolic strokes in a patient diagnosed with lung cancer. Primary and secondary stroke prevention is discussed with relevant review of the literature. 关 键 词：肺癌患者 瓣膜性心脏病 栓塞性 卒中 非小细胞 非细菌性血栓性 复发性 非肿瘤患者 经胸超声心动图 肺腺