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患者女,54岁。患者1986年10月以头痛、鼻塞、左颈部肿块为主诉,在当地驻军医院就诊,经鼻咽部病理活检确诊为鼻咽癌(Ⅳ期)、即来我院行~(60)钴放射治疗,总量7000拉德。疗程结束后,左颈部肿块消失,病情稳定。1989年1月左颈部出现肿大淋巴结,且呈进行性增大。同年4月14日患者左颈部肿块增大至10×10厘米时、住我院肿瘤科治疗。入院后因患者体质较差,先给预对症和支持治疗。1989年5月25日病人感到头晕,心中难受。查病人心率46次/分,律齐,血压正常,给预对症治疗。6月7日病人突然意识丧失,抽搐。当时查心率36次/分,血压40/20毫米汞柱,经抢救病情好转。后经心内科会诊认为患者发作性心动过缓系左颈
Female patient, 54 years old. In October 1986, the patient complained of a headache, stuffy nose, and left neck mass. He was present at the local garrison hospital. He was diagnosed as nasopharyngeal carcinoma (stage IV) by nasopharyngeal biopsy, and I came to our hospital to perform (60) cobalt radiation. Treatment, total 7000 rads. After the course of treatment, the left neck mass disappeared and the condition was stable. In January 1989, enlarged lymph nodes appeared in the left neck and showed a progressive increase. On the 14th of the same year, when the patient’s left neck mass increased to 10×10 cm, he was treated in our oncology department. After admission, due to the poor physical condition of the patient, pre-symptomatic and supportive treatment are given first. On May 25, 1989, the patient felt dizzy and uncomfortable in his heart. Check the patient’s heart rate 46 beats / min, law Qi, normal blood pressure, to pre-symptomatic treatment. On June 7, the patient suddenly lost consciousness and twitched. At that time, the heart rate was 36 beats per minute, and the blood pressure was 40/20 mm Hg. The condition improved after the rescue. Post-Cardiac Consultation Considers Patients with Paroxysmal Bradycardia and Left Neck