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在放射性心脏病变中,最常见的是心包炎。放射性心脏损伤发生较严重的心律失常,国内未见报道。我们遇到一例左肺癌患者,在放疗中反复出现室性和房性心律失常。现报道和讨论如下。 患者男性,60岁,工人,住院号44413。因左上支气管肺癌,在某医院经支气管动脉介入性化疗DDP总量0.25g后,来我院放疗。无心脏病既往史。查体:颈静脉不充盈,无桶状胸,心律齐,无杂音。肝脾未及,下肢不浮肿。血压130/80mmHg胸片示左肺
The most common form of radiation heart disease is pericarditis. The occurrence of severe arrhythmia in radioactive heart damage has not been reported in China. We encountered a case of left lung cancer and repeated ventricular and atrial arrhythmias during radiotherapy. The reports and discussions are as follows. Patient male, 60 years old, worker, hospital number 44413. Due to lung cancer in the left upper bronchus, radiotherapy in our hospital was performed after a total of 0.25 g of DDP was administered to the bronchial artery in a hospital. No history of heart disease. Physical examination: The jugular vein is not full, no barrel chest, heart rhythm, no noise. The liver and spleen were not found and the lower limbs were not swollen. Blood pressure 130/80mmHg chest X-ray