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患男,59岁。1990年5月因贲门高分化腺癌行贲门癌切除术,术中发现肝左叶转移灶,术后1月到我院行腹部移动条形野放疗+丝裂霉素化疗。1991年4月腹部CT检查肝转移灶消失,一般情况好转,于1991年5月出院,恢复工作。患者1991年11月自觉腰痛、腹胀,B超检查示:双肾转移性病灶、腹水形成,诊断为贲门癌腹腔广泛转移,再次入院。入院后给予对症支持治疗,双肾区放疗因身体不能耐受而中断。患者每日尿量逐渐减少,肾功能呈进行性减低。患者腰痛后曾给予安痛定肌注,埃托啡25mg口服,症状缓解。患者于1992年2月29日7时30分自觉胸闷、气短、腹部疼痛难忍,给予安痛定肌注、吸氧后,症状消有缓解,9时自服埃托啡50mg,9时35分突然出现昏迷,
Male, 59 years old. In 1990 May due to cardia well-differentiated adenocarcinoma cardiac resection, intrahepatic left lobe metastasis was found, 1 month after surgery to our hospital abdomen to move the strip field radiotherapy + mitomycin chemotherapy. April 1991 abdominal CT examination of liver metastases disappeared, the general situation improved, in May 1991 was discharged and resumed work. Patients in November 1991 consciously low back pain, abdominal distension, B-ultrasound showed: metastatic renal disease, ascites formation, diagnosis of cardia cancer extensive abdominal metastasis, re-admission. Symptomatic supportive treatment given after admission, renal area radiotherapy due to physical intolerance and interruption. Patients daily urine output decreased gradually decreased renal function. Anodyne given intramuscular injection of patients with low back pain, etanercept 25mg orally, the symptoms ease. Patients at 7:30 on February 29, 1992 self-conscious chest tightness, shortness of breath, abdominal pain unbearable, intramuscular injection of An allodynia, oxygen, the symptoms disappeared, 9:00 self-serving etanercept 50mg, 9:35 Suddenly appeared in a coma,