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患者,男性,59岁。因“回缩涕带血伴头痛4月”就诊,鼻咽部活检确诊鼻咽低分化鳞癌而收入我科。入院时患者右侧头部持续性针刺样疼痛。CT显示:鼻咽癌;颅底骨质破坏。曾给予曲马多控释片止痛,疗效不显。改用多瑞吉贴剂2.5mg贴于前胸壁平坦处,用药约9h后患者呈现昏睡状态,较响的声音才能唤醒,唤醒后仅能做简短、模糊的应答,停止叫喊后,马上又进入昏睡状态。测血压16/10Kpa,脉搏76
Patient, male, 59 years old. Due to “Retinal tears with blood and headache in April ” treatment, nasopharyngeal biopsy diagnosed nasopharyngeal poorly differentiated squamous cell carcinoma and income in our department. Persistent acupuncture-like pain on the right side of the patient on admission. CT showed: nasopharyngeal carcinoma; skull base bone destruction. Had given tramadol controlled release tablets pain, curative effect is not significant. Switch to the Dui Rui Ji patch 2.5mg affixed to the anterior chest wall flat, the drug was about 9h after the patient showed lethargy, louder sound to wake up, awakening can only do a brief, vague response, stop shouting, immediately re-entered Lethargic state. Blood pressure test 16 / 10Kpa, pulse 76