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1临床资料例1:患者男,50岁,2009年4月16日以“确诊‘左上肺腺癌’5月,遵嘱再入院化疗”入院。入院诊断:左上肺腺癌并纵隔淋巴结转移、T4胸椎转移、左胫骨转移(c-T4N2M1,TV期,PS=1分)。既往无高血压病史,入院后拟行二线药物培美曲塞第二周期化疗,于4月18日无明显诱因出现寒战、发热,伴咳嗽,咳淡黄色黏痰,全身酸痛。体检:T39.9℃,P 82次/min,R 24次/min,BP 137/88 mmHg,咽无红肿,双侧扁桃体不大。两肺呼吸音稍粗,左下肺闻及少量湿
1 Clinical data Example 1: Male patient, 50 years old, April 16, 2009 to “diagnosed” left upper lung adenocarcinoma ’May, compliance with re-admission chemotherapy "admission. Admission diagnosis: left upper lung adenocarcinoma with mediastinal lymph node metastases, T4 thoracic metastases, left tibial metastases (c-T4N2M1, TV period, PS = 1 point). No previous history of hypertension, admission to the second-line chemotherapy pemetrexed chemotherapy, on April 18 no obvious incentive chills, fever, cough, cough, yellow phlegm, body aches. Physical examination: T39.9 ℃, P 82 times / min, R 24 times / min, BP 137/88 mmHg, no swollen pharynx, bilateral tonsils not large. Breath sounds slightly thick lungs, the lower left lung smell a small amount of wet