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首发表现为脑卒中而无肺部症状的肺癌患者早期诊断困难,常误诊为神经系统疾病,尽管临床上并不少见,但国内文献报道不多。现将我院1993年3月～1997年12月收治的23例报告分析如下。 1 临床资料 1.1 一般资料:本组23例,男18例,女5例;年龄56～78岁,平均63.7岁。从发病到就诊时间为1～7天,从就诊到确诊时间为7～22天。有高血压病史者5例,糖尿病病史者2例。 1.2 临床特点:本组患者均以急性脑卒中为首发症状就诊于神经内科,其中左侧偏瘫、偏身麻木12例,右侧偏瘫伴失语8例,双下肢无力伴小便失禁3例。伴头痛、呕吐3例,伴精神呆滞4例。本组23例均经头颅CT检查,发现占位性病变14例,脑梗塞7例,
The initial diagnosis of stroke without pulmonary symptoms in patients with early diagnosis of lung cancer is often misdiagnosed as neurological diseases, although not uncommon in clinical practice, but the domestic literature reported little. Now in our hospital from March 1993 to December 1997 admitted 23 cases of the report as follows. 1 Clinical data 1.1 General Information: The group of 23 patients, 18 males and 5 females; aged 56 to 78 years, mean 63.7 years. From onset to treatment time is 1 to 7 days, from the diagnosis to diagnosis time of 7 to 22 days. There are 5 cases of history of hypertension, 2 cases of history of diabetes. 1.2 Clinical features: The patients were treated with acute stroke as the first symptom in neurology, including left hemiplegia, partial numbness in 12 cases, right hemiplegia with aphasia in 8 cases, bilateral lower extremities with incontinence in 3 cases. With headache, vomiting in 3 cases, with mental retardation in 4 cases. The group of 23 patients were examined by skull CT and found that 14 cases of space-occupying lesions, cerebral infarction in 7 cases,