胆管细胞癌相关性缺血性卒中1例并文献复习  

Cholangiocarcinoma-Associated Ischemic Stroke:A Case Report and Literature Review

作　　者：韦静雯 宋萍萍 丁燕[1] 张玉生[1] WEI Jingwen;SONG Pingping;DING Yan;ZHANG Yusheng(Department of Neurology,The First Affiliated Hospital of Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学附属第一医院神经内科,广州510630

出　　处：《中国卒中杂志》2025年第2期158-162,共5页Chinese Journal of Stroke

基　　金：广东省自然科学基金面上项目(2020A1515011249)中央高校基本科研业务费专项资金资助(21620406)广州市科技计划项目(2023A03J0577,2023A04J1914)。

摘　　要：恶性肿瘤可明显增加缺血性卒中的发生风险,而缺血性卒中会加重肿瘤患者病情,是患者非肿瘤性死亡的重要原因。肿瘤相关性缺血性卒中(cancer-associated ischemic stroke,CAIS)发病机制复杂,预后差。早期识别和综合管理CAIS对改善患者预后有重要意义。本文报道1例胆管细胞癌相关性缺血性卒中病例的诊治过程,并结合文献复习,阐述CAIS的发病机制、临床特征、治疗与预后,为临床提供借鉴。Malignant tumors can significantly increase the risk of ischemic stroke,and ischemic stroke can exacerbate the condition of tumor patients,making it an important cause of non-neoplastic deaths.The pathogenesis of cancer-associated ischemic stroke(CAIS)is complex,with a generally poor prognosis.Therefore,early identification and comprehensive management of CAIS are of great significance for improving the prognosis of patients.This article reported the diagnosis and treatment process of a case of cholangiocarcinoma-associated ischemic stroke.Combined with literature review,the pathogenesis,clinical characteristics,treatment,and prognosis of CAIS were expounded,providing a reference for clinical practice.

关 键 词：肿瘤相关性缺血性卒中 胆管细胞癌 特鲁索综合征 高凝状态 

分 类 号：R74[医药卫生—神经病学与精神病学] R73[医药卫生—临床医学]