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qing ma fei tong zhi liao 4 sui er tong nan zhi xing ai tong 1 li
Author(s): 
Pages: 79-80
Year: Issue:  1
Journal: Chinese Journal of Pain Medicine

Abstract: 1.一般资料 病例:女,4岁半,因"发现右下肢横纹肌肉瘤8月,疼痛3月"于2021-04-08就诊于我院.入院前于2020-08无意中发现右下肢股骨段有一大小约4 cm×2 cm×1 cm 质硬包块,行 PET-CT 提示右股骨下段前内侧软组织肿块影并邻近局部骨质破坏伴葡萄糖代谢增高,符合恶性病变.在西安市某医院行包块活检术,病理示横纹肌肉瘤.考虑肿瘤病变范围大,建议先行化疗待瘤体缩小后再行手术治疗.但患儿未行手术、化疗、放疗、靶向治疗等抗肿瘤治疗.于2021-01出现右下肢疼痛,先后用氨酚羟考酮、羟考酮缓释片、芬太尼透皮贴、普瑞巴林镇痛药治疗,疗效欠佳.2天前疼痛加重, 24 小时镇痛药有:芬太尼透皮贴16.8 mg,羟考酮缓释片160 mg,爆发痛时给予氨酚羟考酮5 mg,普瑞巴林75 mg 和阿普唑仑联合镇痛药治疗.但控制欠佳.
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