匿名使用者
匿名使用者 發問時間: 健康疾病與處置癌症 · 9 年前

急翻譯醫矚血腫科內容有點長

This 70 years old man had history of essential HTN,CAD 3-V-D S/P stents to LAP and RCA more than 10 year ago ,nd received re-stenting to LAP in 2010-04 .Adenocarcinoma moderately different of rectum , with liver metastasis CTZNIaMIB , stage IVB (2010/08,AJCC 2010) EGFR(+) KRASwild type s/p salvage C/T Mfolfox(8) and FOFIRI(1) with PR ,Gveade IV vomiting ,diarrnea, neutropenia was noted post FOFIRI ,He got diarrnea, ,shoke with respiratory failure and was admitted to from 2010/12 to 2011/04 and then he recorvered with clear consctousness and no dyspnea .CT scan on 2011/05/11 showed lung and liver metastasis.The elevation of CEA (9.96→ 32.03) ng/ml was also noted s alvage chemo ther apy with cetuximeab +Irinotcan was suggested.,salvage chemotherapy with regimen cetuximab 500mg/mz=700mg on pl,irinotecan30mg/mz=45mg on pl(forGIV neutr penia HX and diarrhea with shock),only grade I diarrhea developed and he could eat food ,G-CSF,support for three days for he got GIV heutropenia HX,salvage cheothrapy with regimen (2) Cetuximab 250mg/mz = 400mg on Dl (for for GIV heutro penia HX and diarrhea with with shock),only grade I diarrhea developed and he could eat food.Today ,he was brought to ous emergency room due to fever and chilness for 1 day there was ho cough ,romiting,nausea,abdominal pain , or d iarrhea .he complaind of freauency and dysuria for about 2days,his vial signs at emergency room were = body temperature 37.8c ,blood pressure was 127/78 ,pulse rate 81/m in and respiratory rate 20/min,physical exam ination then revealed no wheezing or rales, Abdomen was not tender.There was no flank tenderness. Urinalysis showed WBC Numerous,and bact ,3+ Blood exam Thation showed leuocytosis and CRP elevation. The chest radiography showed no active lesion. He was aditted for further treatment

1 個解答

評分
  • 9 年前
    最佳解答

    這個70歲的男子史基本HTN,CAD3- VD S / P支架,以LAP和RCA10餘年前,ND收到重新支架,以LAP在2010-04。適度不同的直腸腺癌,肝癌轉移CTZNIaMIB,舞台IVB(2010/08,AJCC2010)表皮生長因子受體(+)KRASwild型S / P打撈 C / T Mfolfox(8)和FOFIRI(1)與美,Gveade IV嘔吐,diarrnea,中性粒細胞後FOFIRI指出,他得到diarrnea,shoke呼吸衰竭,被送往從2010/12至2011/04,然後他recorvered明確 consctousness,沒有呼吸困難。

    CT掃描顯示,2011年5月11號肺和肝metastasis.The標高CEA(9.96→32.03)ng / ml的會議還指出s alvage化療有APY與cetuximeab+ Irinotcan建議。,挽救化療方案西妥昔單抗500mg/mz在PL=700mg,irinotecan30mg/mz=45mg的PL(forGIVneutr penia HX和腹瀉與休克),只有Ⅰ級腹瀉發達,他可以吃的食物,G - CSF,支持三天,他得到了GIV heutropenia HX,打撈cheothrapy與方案(2)西妥昔單抗250mg/mz=400毫克的DL(為 GIV heutro penia HX和腹瀉與休克),只有Ⅰ級腹瀉發達,他可以吃的食物。

    今天,他被帶到急診室的OU因發燒和chilness1天有浩咳嗽,romiting,噁心,腹痛,或diarrhea他complaind的freauency約2天和排尿困難,他的小瓶標誌急診室被=體溫37.8c,血壓78分之127,脈率81 /米和呼吸頻率20/min,體檢 ination再沒有發現羅音或哮鳴音,腹部未tender.There沒有側翼壓痛。尿檢結果顯示白細胞多,BACT,3+血考試 Thation顯示 leuocytosis和CRP升高。胸部攝片顯示沒有活動的病變。他aditted接受進一步治療

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