论文部分内容阅读
患男,57岁。1990年3月6日因右颈部包块伴发热1月就诊。查体:T38.5℃,右颈部有3枚肿大的淋巴结,1枚肿大如核桃,另2枚肿大似蚕豆,表面光滑,皮肤无红肿,质地中等,肿大淋巴结之间无粘连,可移动,无触痛。X线胸片报告:右侧纵隔增宽。在局麻下取一枚肿大的淋巴结行活组织检查,病理组织学诊断为何杰金氏病(混合细胞型)。在某地区医院采用“斗篷式”放射治疗1疗程,包块消失,复查X线胸片正常。 1993年11月24日因进行性吞咽困难2月住院。查体未见异常。血、粪、尿常规,X线胸片、心电图、肝肾功能均正常。B超检查肝、胆、脾未见异常。纤维胃镜检查见贲门扩张差,僵硬,但镜尚能通过,接触出血,小弯
Suffering from a man, 57 years old. March 6, 1990 due to fever in the right neck mass with a month in January. Physical examination: T38.5°C, 3 swollen lymph nodes in the right neck, 1 swelling such as walnut, 2 swollen like beans, smooth surface, no skin irritation, medium texture, no lymph nodes Adhesion, removable, no tenderness. X-ray report: widened right mediastinum. A swollen lymph node underwent biopsy under local anesthesia and histologically diagnosed why of JK (mixed cell type). In a hospital in a certain area, “cloak-type” radiation therapy was used for one course of treatment. The mass disappeared and the chest radiograph was normal. November 24, 1993 Hospitalized due to progressive dysphagia. There was no abnormality in the examination. Routine blood, feces, urine, chest X-ray, electrocardiogram, liver and kidney function were normal. B-ultrasound showed no abnormalities in liver, gallbladder and spleen. Gastric endoscopy showed poor cardiae expansion, stiffness, but the mirror can still pass, contact bleeding, small bends