摘要
肺肿瘤血栓性微血管病(PTTM)是肿瘤患者严重而罕见的并发症,本病病情变化快,死亡率高,生前诊断率低。本文报道一例乳腺癌患者,以喘累、黄疸为临床表现,入院后辅助检查提示溶血性贫血、低氧血症、肺动脉高压、右心增大、D-二聚体阳性而肺动脉CTA阴性,考虑乳腺癌所致肺肿瘤血栓性微血管病,最终因疾病进展迅速在入院后短期内死亡。
Pulmonary tumor thrombotic microangiopathy(PTTM)is a serious and rare complication of tumor patients.The disease changes rapidly,and has high mortality rate and low diagnosis rate.This paper reports a case of breast cancer patient with panting and jaundice as clinical manifestations.After admission,auxiliary examination revealed hemolytic anemia,hypoxemia,pulmonary hypertension,right heart enlargement,D-dimer positive and pulmonary artery CTA negative.Pulmonary tumor thrombotic microangiopaemia caused by breast cancer was considered.Eventually,the patient died shortly after admission due to the rapid progression of the disease.
作者
陈丽
饶巧
张志坚
游承劲
CHEN Li;RAO Qiao;ZHANG Zhi-jian;YOU Cheng-jin(Emergency Department,Banan District People's Hospital of Chongqing,Chongqing 401320,CHINA;Intensive Care Unit,Banan District People's Hospital of Chongqing,Chongqing 401320,CHINA)
出处
《海南医学》
CAS
2024年第14期2080-2082,共3页
Hainan Medical Journal
基金
重庆市科卫联合中医药技术创新与发展项目(编号:2020ZY023881)
重庆市巴南区社会事业与民生保障科技创新专项项目(编号:KY202208134715003)。
关键词
乳腺癌
腺癌
肺肿瘤血栓性微血管病
Breast cancer
Adenocarcinoma
Pulmonary tumor thrombotic microangiopathy
