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翁××,男,45岁,工人,住院号109073。患者因咳嗽、咯血、胸痛、气急两个月,于1982年2月住院治疗。入院后经胸腔与心包腔穿刺,均抽得血性渗出液。胸水与心包液均检到多量恶性肿瘤细胞,胸膜活组织检查证实为胸膜间皮瘤(上皮型)。患者有持续胸痛,开始用镇痛剂尚暂时有效,但病情日见加剧,胸痛呈持续性刺痛,痛苦难忍,辗转不安。曾于床边作心电图检查,为窦性心律,正常范围心电图。先后多次注射颅痛定、罂粟硷、杜冷丁、吗啡等
Weng × ×, male, 45 years old, worker, hospital number 109073. The patient was hospitalized in February 1982 for two months due to cough, hemoptysis, chest pain, and shortness of breath. After admission, transthoracic and pericardial punctures were used to obtain bloody exudates. A large number of malignant tumor cells were detected in pleural effusion and pericardial fluid. Pleural biopsy confirmed pleural mesothelioma (epithelial type). The patient had persistent chest pain, and the use of analgesics was temporarily effective. However, the condition of the patient continued to increase, and the chest pain was persistent and painful. He felt uneasy. I used electrocardiography at the bedside for sinus rhythm and normal range electrocardiogram. Repeatedly injecting craniotamine, papaverine, pethidine, morphine, etc.