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患者,男,48岁,汉族,已婚,农民。主因肝癌术后19个月余,间断头痛16d,加重5h入院。患者缘于19个月余前因右上腹疼痛,就诊于河北医科大学第四医院,经检查考虑肝癌,后行肝左叶外切除术,病理回报:结节性肝硬化伴肝细胞癌,未予化疗及放疗。4个月余前发现肺转移,2个月余前患者出现头胀、伴右侧肢体无力,经检查为脑转移,于我院行头部放疗。后患者出现咳嗽、咯痰,于我院行奥沙利铂+顺铂+5-氟尿嘧啶化
Patient, male, 48 years old, Han nationality, married, farmer. The main liver cancer after 19 months, intermittent headache 16d, increased 5h admission. Patients due to 19 months ago due to right upper quadrant pain, treatment at the Fourth Hospital of Hebei Medical University, after examination to consider liver cancer, left hepatic lobe excision, pathological findings: nodular cirrhosis with hepatocellular carcinoma, not To chemotherapy and radiotherapy. More than four months before the discovery of lung metastases, more than 2 months before the patient had swollen, with the right limb weakness, the examination for brain metastases, head radiotherapy in our hospital. After the patient cough, expectoration, in our hospital oxaliplatin + cisplatin + 5-fluorouracil