作者：李苗，党晓凤，薛艺东，刘峰

单位：

716000 陕西省延安市，延安大学附属医院神经内科

Units：

Department of Neurology，Yan'an University Affiliated Hospital，Yan'an 716000，China

关键词：

副肿瘤综合征，神经系统；特鲁索综合征；脑梗死；恶性肿瘤

Keywords：

Paraneoplastic syndromes，nervous system；Trousseau syndrome；Brain infarction.；Malignant tumors

CLC：

DOI：

10.12114/j.issn.1008-5971.2021.00.017

Funds：

延安市成果转化与推广应用专项项目（2018CGZH-15）

摘要：

特鲁索综合征是一种恶性肿瘤相关的血栓栓塞并发症，病因不明，患者易反复发生脑区多血管梗死，D- 二聚体水平异常升高，且多数患者在脑血管事件发病 1 年内发现肿瘤，因此部分患者发现肿瘤时已出现远处转移，错过了最佳治疗时机。特此报道 1 例，以期提高临床医生对特鲁索综合征的诊疗水平，尽早发现并治疗原发病，以降低脑梗死复发率。

Abstract：

Trousseau syndrome is a thromboembolic complication associated with malignant tumors，and cause is unknown，patients are prone to recurrent acute cerebral infarction with the multi-vascular area，and the D-dimer level is abnormally increased，most patients found tumors within 1 year of the onset of cerebrovascular events，there was distant metastasis，and the best time for treatment is missed when some patients have already discovered the tumors.This paper reported a case of trousseau syndrome，in order to improve the diagnosis and treatment of trousseau syndrome by clinicians，search and treat the primary disease as soon as possible，and reduce the recurrence rate of cerebral infarction.

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