Total palliative care for a patient suffering from multiple cerebral infarctions that occurred repeatedly in association with gastric cancer (Trousseau’s syndrome).
Total palliative care for a patient suffering from multiple cerebral infarctions that occurred repeatedly in association with gastric cancer (Trousseau’s syndrome).
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对患有与胃癌（特鲁索综合征）相关的反复发生的多发性脑梗塞的患者进行全面姑息治疗。
DOI：
10.1017/s1478951512000624
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发表时间：
2012
影响因子：
2.2
通讯作者：
Norio Ozaki
中科院分区：
文献类型：
--
作者：
Katsuyuki Ukai;Akiko Okajima;Aya Yamauchi;Eiji Sasaki;Yohsuke Yamaguchi;Hiroyuki Kimura;Branko Aleksic;Norio Ozaki
脑梗死相关血栓栓塞，也称为Trousseau综合征，可表现为急性脑梗死、非细菌性血栓性心内膜炎（NBTE）和游走性血栓性静脉炎。因此，许多身体，神经和心理症状与Trousseau综合征可能会发生在临床course.MethodTo说明这一点，我们报告的情况下，在他50多岁的男性患者与胃癌引起的癌性腹膜炎，与多个脑梗死的疾病进展过程中开发。患者因化疗副作用入院治疗，尽管他强烈希望尽快回家。除了制定社会支持计划外，我们还需要进行密集的全面姑息治疗，因为他的身体疼痛，全身疲劳，厌食，腹部和颈部疼痛以及心理问题（失眠、谵妄、抑郁、自杀念头、自残、惊恐发作、广场恐怖症、死亡恐惧和绝望感）。这是第一次报告的情况下，Trousseau综合征的描述，在整个姑息治疗，特别是心理护理。Significance of resultsWe建议，神经症状的Trousseau综合征的原因，这些广泛的精神障碍。此外，由于Trousseau综合征的预后，我们应该利用我们的专业知识满足患者的愿望。
ObjectiveMalignancy-related thromboembolism, also referred to as Trousseau's syndrome, can present as acute cerebral infarction, nonbacterial thrombotic endocarditis (NBTE), and migratory thrombophlebitis. Therefore, many physical, neurological, and psychological symptoms associated with Trousseau's syndrome may occur in the clinical course.MethodTo illustrate this, we report a case of a male patient in his 50s with carcinomatous peritonitis caused by gastric cancer, with multiple cerebral infractions that developed during disease progression. The patient was admitted to our hospital for the treatment of side effects of chemotherapy, although he strongly hoped to go home as soon as possible. In addition to making social supports plans, we were required to perform intensive total palliative care, because of his physical pain, general fatigue, anorexia, abdominal and neck pain, and psychological issues (insomnia, delirium, depression, suicidal thoughts, self-mutilation, panic attacks, agoraphobia, fear of death, and feelings of hopelessness).ResultsTo the best of our knowledge, based on the literature search, this is the first reported case of Trousseau's syndrome described in the context of total palliative care, especially psychological care.Significance of resultsWe propose that neurological symptoms of Trousseau's syndrome cause these extensive mental disorders. Furthermore, because of the prognosis of Trousseau's syndrome, we should utilize our expertise fulfill the patient's wishes.