Superior venacava syndrome

Michael L Pearl MD , Ann Buhl MD , Paul A DiSilvestro MD , Fidel A Valea MD , Eva Chalas MD
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引用次数: 1

Abstract

Superior vena cava syndrome (SVCS) affects approximately 15,000 people annually in the United States. Currently, mediastinal malignancies, primarily small cell lung cancer, account for the majority of cases of SVCS. Iatrogenic causes, predominantly long-term central venous catheters, account for approximately 7% of cases of SVCS, and the incidence is increasing. Historically, SVCS was considered an oncologic emergency that required urgent treatment. It is now evident that SVCS is rarely a true emergency and that treatment may be safely provided in a deliberate fashion to the majority of patients. This article provides an overview of the etiology, presentation, diagnosis, and management of SVCS.

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上腔静脉综合征
在美国,上腔静脉综合征(SVCS)每年影响约15,000人。目前,以小细胞肺癌为主的纵隔恶性肿瘤是SVCS的主要病因。医源性原因,主要是长期中心静脉导管,约占SVCS病例的7%,并且发病率正在增加。从历史上看,SVCS被认为是一种需要紧急治疗的肿瘤急症。现在很明显,SVCS很少是真正的紧急情况,并且可以以慎重的方式安全地向大多数患者提供治疗。本文概述了SVCS的病因、表现、诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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