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上层介质动脉栓塞与西斯普拉丁诱导的大动脉血栓形成有关
Ryo Aoki1, Shingo Kato1, Kento Nakajima1
1Department of Diagnostic Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
BJR case reports
|October 2, 2023
概括
西斯普拉丁化疗可以导致罕见但危险的大动脉血栓形成,导致像上层中枢动脉 (SMA) 栓塞等阻塞. 早期发现和停止化疗可以解决这些危及生命的心血管并发症.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 血管外科 血管外科
背景情况:
- 心血管并发症对于癌症治疗预后至关重要.
- 西斯普拉丁化疗可以诱导大动脉血栓形成,这是一个罕见但严重的疾病.
- 上层中枢动脉 (SMA) 栓塞是大动脉血栓形成的一种危及生命的并发症.
研究的目的:
- 报告一种 SMA 栓塞病例,这是西斯普拉丁诱导的大动脉血栓形成的次要原因.
- 强调早期发现和治疗这种罕见并发症的重要性.
主要方法:
- 一名66岁的患有食道癌症的男性接受了5-甲,甲和放射治疗.
- 患者在治疗7天后发生了大动脉血栓塞和SMA栓塞.
- 治疗包括停止化疗,腹腔镜切除肠道,以及用肝素进行抗凝治疗.
主要成果:
- 计算机断层扫描证实了大动脉血栓的分离,并在治疗后减少了 SMA 血栓.
- 患者的病情在抗凝药和停止西斯治疗后得到改善.
结论:
- 在预防致命的外周栓塞方面,早期识别西斯普拉丁诱导的大动脉血栓是至关重要的.
- 停止基斯普拉丁化疗和启动抗凝药可以导致血栓的解决.
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