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病历摘要患者男,80岁,教授。1985年5月发现大便带血,伴肛门坠痛,未介意。8月到北京医科大学附属医院检查,确诊直肠癌。10月底行直肠癌切除术和人工肛门造瘘术,切除之肿物病理报告为低分化腺癌。术后2周,右臀及骶部出现疼痛症状,有时很剧烈,考虑系癌肿局部转移,乃行直线加速器疼痛部位放疗,放射量为5000拉德,疼痛缓解,后出院。10天前上述部位疼痛再次出现,呈进行性加重,且不思饮食,体质日见消瘦、衰竭,遂于1986年5月24日入我院诊治。 1961年患乙状结肠癌,行左半结肠切除术,术后情况良好;1966年患高血压病和心绞痛。母死于肠癌,个人史无特殊。检查:体温37.1℃,脉搏92,血压110/70。慢性病容,消瘦,神志清晰。恐膜无黄染,皮肤无皮疹、出血点和蜘蛛痣。浅表淋巴结(-)。双肺呼吸音粗糙,左腋下及肩胛间区可闻中水泡音。心率
Patient summary Male patient, 80 years old, professor. 1985 May found stool bloody, with anal pain, did not mind. August to Beijing Medical University Hospital examination, diagnosed with rectal cancer. By the end of October colorectal cancer resection and artificial anal ostomy, resection of the tumor pathology for poorly differentiated adenocarcinoma. 2 weeks after surgery, right hip and sacral pain symptoms, sometimes very intense, consider the Department of local metastasis of cancer, is a linear accelerator pain radiotherapy, radiation dose of 5000 rad, pain relief, after discharge. 10 days ago the above site pain again, was progressive increase, and do not think diet, physical daily thin, failure, then in May 24, 1986 into our hospital for diagnosis and treatment. 1961 suffering from sigmoid colon cancer, left half colon resection, postoperative good condition; 1966 suffering from hypertension and angina. The mother died of colorectal cancer, personal history no special. Check: body temperature 37.1 ℃, pulse 92, blood pressure 110/70. Chronic disease, weight loss, conscious. No fear of yellow dye, skin rash, bleeding spots and spider nevus. Superficial lymph nodes (-). Breathe sound rough lungs, left arm and scapular area can smell the blisters sound. Heart rate