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1li qing ma fei tong pca kuai su di ding zhi liao nan zhi xing ai tong
Author(s): 
Pages: 239-240
Year: Issue:  3
Journal: Chinese Journal of Pain Medicine

Abstract: 1.一般资料 病例:男性,66岁,以"左肾恶性肿瘤摘除3年,背痛5天."于2021-01-11入我院肿瘤科治疗.3年前病人因左肾恶性肿瘤于外院行左肾全切术,术后定期复查.2年前病人复查时发现右肩胛骨及肺部癌细胞转移并接受分子靶向治疗(具体药物不详),给予右肩胛骨区域局部放射治疗;10个月前复查时发现颅内占位,考虑脑转移癌.5个月前于外院接受脑转移灶伽马刀治疗;4个月前病人出现头痛,伴恶心、呕吐,在我院神经外科接受对症治疗后症状缓解.3个月前因咳嗽、咳痰增多,于我院呼吸内科接受抗感染等对症治疗.半个月前突发剧烈头痛、恶心,呕吐,头颅CT平扫提示右侧脑出血;左侧侧脑室后角占位;脑白质脱髓鞘改变;脑萎缩.右枕部软组织损伤,于我院神经外科住院治疗,诊断为:①脑卒中;②颅内占位术后;③左肺转移癌;④右肩胛骨转移癌;⑤左肾癌术后;⑥右肾占位性病变;⑦高血压病;⑧2型糖尿病;⑨癫痫;⑩前列腺增生,症状好转后出院.5天前病人出现背部疼痛,给予口服"塞来昔布、氨酚羟考酮"药物治疗,无明显缓解.
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