作者：张译方，刘丽，宗兆婧

单位：

563000贵州省遵义市，遵义医科大学附属医院呼吸与危重症医学科二病区

Units：

Second Ward, Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China

关键词：

肺栓塞；软骨肉瘤；肿瘤转移；病例报告

Keywords：

Pulmonary embolism; Chondrosarcoma; Neoplasm metastasis; Case reports

CLC：

R 563.5 R 738.3

DOI：

10.12114/j.issn.1008-5971.2023.00.310

Funds：

贵州省基础研究计划项目（黔科合基础-ZK﹝2022﹞ 一般673）

摘要：

肺栓塞是由于各种栓子堵塞肺动脉及其分支引起的肺循环障碍临床综合征。软骨肉瘤是一种起源于结 缔组织的恶性肿瘤，起病隐匿、无特异性临床表现，肺栓塞是软骨肉瘤的少见并发症，尤其是肺动脉肿瘤栓塞。肺动 脉血栓栓塞和肿瘤栓塞在影像学上难以区分，但临床治疗方案完全不同，且患者预后差异较大。本文报道1例骨盆软 骨肉瘤导致肺动脉肿瘤栓塞的发病过程、临床表现、影像学检查、病理检查结果及诊疗过程，以提高临床医生对软骨 肉瘤导致肺动脉肿瘤栓塞的认识及其对肺动脉血栓栓塞和肿瘤栓塞的鉴别诊断能力。

Abstract：

Pulmonary embolism is a clinical syndrome of pulmonary circulatory disorders caused by various emboli blocking the pulmonary artery or its branches. Chondrosarcoma is a malignant tumor originating from connective tissue, with insidious onset and non-specific clinical features, pulmonary embolism is a rare complication of chondrosarcoma and tumor embolism caused by chondrosarcoma is even rarer. Pulmonary thromboembolism and tumor embolism are difficult to distinguish on radiographs, but the clinical treatment regimen is completely different, and the prognosis of the patients is quite different. This article reports the pathogenesis, clinical manifestations, imaging examination, pathological biopsy results, and diagnosis and treatment of a case of pulmonary artery tumor tmbolism caused by pelvic chondrosarcoma, in order to improve the clinical understanding of pulmonary artery tumor tmbolism caused by chondrosarcoma, and the ability of differentiation and diagnosis between thromboembolism and tumor embolism.

ReferenceList：