肿瘤预防与治疗2017,Vol.30Issue(5):348-352,5.DOI:10.3969/j.issn.1674-0904.2017.05.005
恶性肿瘤患者并发脑梗死相关危险因素的病例对照研究
The Clinical Features and Influencing Factors of Cerebral Infarction in Cancer Patients: A Case Control Study
刘莉 1陈秋 1吕凤琼 2胡然 3青绍华1
作者信息
- 1. 629000四川遂宁,遂宁市中心医院神经内科
- 2. 629000四川遂宁,遂宁市中心医院全科医学科
- 3. 629000四川遂宁,遂宁市中心医院检验科
- 折叠
摘要
Abstract
Objective:To investigate the clinical features and influencing factors of cerebral infarction in cancer patients.Methods:A case control study was conducted and 86 patients diagnosed with cancer and cerebral infarction were collected as the case group,while 86 cancer patients without cerebral infarction and 86 non-cancer patients with cerebral infarction were collected and matched according to age and gender.Clinical data were compared among groups.Results:Among cancer patients with cerebral infarction,stroke of other undemonstrated etiology was the most common type of stroke (37.2%),while for non-cancer patients with cerebral infarction group was large-artery atherosclerotic stroke (48.8%).43.0% of cancer patients developed cerebral infarction within 3 months since the diagnosis of cancer,and 23.3% of patients developed cerebral infarction between 3 to 6 months.Compared with non-cancer patients with cerebral infarction,the level of D-dimer and percentage of multiple infarction regions were higher in cancer patients without cerebral infarction.Compared to cancer patients without cerebral infarction,the level of D-dimer and percentage of distant metastasis were higher in cancer patients without cerebral infarction.Conclusions:For cancer patients,within the first 6 months were the high risk period of developing cerebral infarction.The change of coagulation and fibrinolysis function and distant metastasis may be associated with cerebral infarction in cancer patients.关键词
恶性肿瘤/脑梗死/危险因素Key words
Cancer/Cerebral infarction/Influencing factors分类
医药卫生引用本文复制引用
刘莉,陈秋,吕凤琼,胡然,青绍华..恶性肿瘤患者并发脑梗死相关危险因素的病例对照研究[J].肿瘤预防与治疗,2017,30(5):348-352,5.