关键词: carcinoma of unknown primary disseminated intravascular coagulation spontaneous hemothorax surgical treatment for hemothorax very rare case

来  源:   DOI:10.1002/rcr2.1215   PDF(Pubmed)

Abstract:
We present a very rare case of spontaneous hemothorax which was caused by carcinoma of unknown primary. To the best of our knowledge, there are no other such cases reported worldwide. The patient was 72-year-old male who was referred to our department for massive hemothorax. We undertook surgical treatment for haemostasis, and found multiple tumours which led to the diagnosis of carcinoma of unknown primary as the cause of haemorrhage. The tumours increased and grew rapidly after surgery and hemothorax progressed despite our treatment. The patient died from disseminated intravascular coagulation caused by continuous bleeding on postoperative day 19.
摘要:
我们提出了一个非常罕见的自发性血胸病例,该病例是由不明原发癌引起的。据我们所知,世界范围内没有其他此类病例报告。患者为72岁男性,因大量血胸被转诊至我们部门。我们接受了止血的手术治疗,并发现了多个肿瘤,这些肿瘤导致了不明原发灶的出血原因的诊断。尽管我们接受了治疗,但手术后肿瘤增加并迅速增长,血胸进展。患者于术后第19天因持续出血导致弥散性血管内凝血死亡。
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