论文首诊于神经内科肺癌脑转移瘤17例临床和影像学分析是关于影像学方面的的相关大学硕士和相关本科毕业论文以及相关医学影像学适合女生吗论文开题报告范文和职称论文写作参考文献资料下载。
[摘 要] 目的 分析首診于神经内科的肺癌脑转移瘤的临床和影像学特点,以提高早期诊断率.方法 对该院2014 年10 月—2016年4 月收治的17 例首诊于神经内科的肺癌脑转移瘤的临床及影像学资料进行回顾性分析.结果 17例患者均以神经系统症状就诊,主诉主要为头痛（n等于15）、头晕（n等于10）、肢体无力或偏瘫（n等于7）、感觉障碍（n等于5）、精神情绪异常（n等于3）、视力减退（n等于1）及癫痫（n等于1）等.脑转移及肺部原发病灶由头颅CT 或MRI 及胸部CT提示,原发灶均经穿刺活检或手术病理确诊,1例单发转移瘤经手术确诊.单发转移2例,多发15例.以皮层下最多见,多伴瘤周水肿,呈囊性表现3例,伴肿瘤卒中2例,增强以环形强化最多.结论 首诊于神经内科的肺癌脑转移瘤首发多为神经系统症状,肺部症状及体征多缺乏或较为轻微,单凭临床易于漏误诊,及时的颅脑及胸部影像学检查有助于准确诊断及进一步的治疗.
[关键词] 肺癌脑转移瘤；首发症状；神经系统症状；影像学诊断
[中图分类号] R73 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0031-04
Analysis of Clinical Imaging of 17 Cases with Lung Cancer with Brain Metastasis Tumors Firstly Diagnosed in the Department of Neurology
YUAN Zheng-guang1, DING Chang-qing2, LUO Hui2, ZHAO Hui1
1.Department of Neurology, Fengxian People’s Hospital, Fengxian, Jiangsu Province, 221700 China；2.Department of Imaging, Fengxian People’s Hospital, Fengxian, Jiangsu Province, 221700 China
[Abstract] Objective To analyze the clinical imaging features of lung cancer with brain metastasis tumors firstly diagnosed in the department of neurology in order to improve the early diagnosis rate. Methods The clinical imaging data of 17 cases with lung cancer with brain metastasis tumors firstly diagnosed in the department of neurology admitted and treated in our hospital from October 2014 to April 2016 were retrospectively analyzed. Results 17 cases were diagnosed due to the nerve system symptoms, and the chief compliments were mainly headache（n等于15）, dizziness（n等于10）, limbs weakness or hemiplegia（n等于7）, sensory disturbance（n等于5）, emotional dysfunction（n等于3）, hypopsia（n等于1）and epilepsy（n等于1）, and brain metastasis and primary lesions of lung were reminded by cranial CT or MRI and chest CT, and the primary lesions were confirmed by the percutaneous biopsy or operative pathology, 1 case was diagnosed with solitary metastases, 2 cases were solitary metastasis and 15 cases were multiple metastases, and subcortex was the most common, most were with peritumoral brain edema, 3 cases were with cystic manifestations, 2 cases were with hemorrhagic brain tumor, and the ring enhancing lesions were the most. Conclusion The nerve system symptoms are the common first-episode symptoms of patients with lung cancer with brain metastasis tumors firstly diagnosed in the department of neurology, lung symptoms or body signs are shortage or mild, and misdiagnosis or missed diagnosis are easy to occur in clinic, and the timey craniocerebral and chest imaging examination contributes to the accurate diagnosis and further treatment.
总结:本文关于影像学论文范文,可以做为相关论文参考文献,与写作提纲思路参考。
参考文献：
1、 临床路径模式在神经内科实习带教中应用探析 [摘要] 神经内科带教传统教学模式，主要是依据实习大纲的要求，带教老师对本科实习生进行入科教育，增强了教学的随意性与随机性，但缺乏系统性。临床路。
2、 神经内科患者人工气道内痰痂形成高危因素护理分析 【摘要】 目的 分析神经内科患者人工气道内痰痂形成的高危因素， 并总结护理对策。方法 选取44例人工气道内痰痂形成的患者作为研究对象， 对所选患。
3、 分析神经内科昏迷患者临床诊断方法治疗体会 【摘要】 目的 对神经内科昏迷患者的临床治疗方案以及病情恢复进行探讨研究。方法 30例神经内科昏迷患者， 对其进行迅速的全面检查， 根据不同的病。
4、 32例老年糖尿病并发脑梗死患者的临床护理 [摘要] 目的 针对临床老年糖尿病并发脑梗死患者护理的效果进行初步探讨。方法 收集2012年5月—2013年5月期间的32例老年糖尿病并发脑梗死。
5、 外阴皮肤黏膜特征性改变预诊糖尿病40例临床观察体会 [摘要] 目的 总结外阴皮肤黏膜特征性改变对于糖尿病发生的预示价值，以在了解患者特征的基础更好的实现糖尿病预防以及早期治疗，最大程度上改善患者的。