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患者男性,66岁,因食管中段癌于1987年1月在某院用~(60)Co放射治疗,照射胸骨处8×12cm范围及背部相对应的部位,前后交替进行。每天照射一处,照射量2 Gy,连续5天,休息两天,共照20次,总量40 Gy。一月后住我院外科行食管癌切除弓上胸胃术。病理报告:高分化鳞状细胞癌。术后恢复良好出院。5月23日因左侧胸痛第二次入院,查体:T37.5℃,神清,消瘦、锁骨下淋巴结(一),呼吸平稳。胸片:两肺纹理增多,左下胸膜增厚,心界正常。心电图指示
The patient, male, 66 years old, was treated with ~(60)Co radiotherapy in a hospital in January 1987. The radiation was irradiated to the 8×12 cm region of the sternum and to the site of the back. Irradiated one place a day, exposure to 2 Gy for 5 consecutive days, rest for two days, a total of 20 times, a total of 40 Gy. After January, I was admitted to our hospital for surgical resection of esophageal cancer and bowel thoracic surgery. Pathology report: well-differentiated squamous cell carcinoma. Postoperative recovery was good. May 23 due to the second time left chest pain admitted to the hospital, physical examination: T37.5 °C, Shen Qing, weight loss, subclavian lymph nodes (a), breathing smoothly. Chest radiograph: The texture of both lungs increased, the left lower pleura thickened, and the heart was normal. ECG indication