论文部分内容阅读
1病历摘要患者张某,男,35岁,因“突发不省人事1周”在当地医院行头颅CT示:颅内占位病变,于2008-08-22在我院神经外科就诊,全麻下行右额胶质瘤开颅切除术,PS 1分。查体:神清,双侧瞳孔等大等圆,对光反射灵敏,额纹、鼻唇沟对称,伸舌居中。四肢肌力5级。否认糖尿病、高血压病史,无吸烟、饮酒史。手术记录:肿瘤下界与侧脑室相通,显微镜下基本切除肿瘤。术后病理(2008-08-27):右额叶星形细胞瘤,WHOⅡ级。免疫组化:CgA(-),MGMT约60%
1 medical records Abstract Zhang, male, 35 years old, because of “sudden unconsciousness for a week ” in the local hospital line skull CT showed: intracranial space-occupying lesions in 2008-08-22 in our hospital neurosurgical treatment , Right frontal glioma craniotomy under general anesthesia, PS 1 points. Physical examination: Shen Qing, bilateral pupil and other large round, sensitive to light reflection, forehead, nasolabial fold symmetry, tongue middle. Limb muscle strength 5. Denied diabetes, history of hypertension, no smoking, history of drinking. Surgical records: the lower boundary of the tumor communicates with the lateral ventricle, and the tumor is basically removed under the microscope. Postoperative pathology (2008-08-27): Right frontal lobe astrocytoma, WHO Ⅱ grade. Immunohistochemistry: CgA (-), MGMT about 60%