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患者男,69岁。因左耳鸣、耳聋6月余,伴左面部麻木2周于2000年3月12日以“鼻咽癌”入院。查体:鼻咽部左咽隐窝消失,见新生物1×1.5cm表面粗糙,无溃烂。左颈动脉三角触及1.5×2cm淋巴结,胸锁乳突肌深面触及直径为2cm的淋巴结。均质硬,无压痛,活动。取鼻咽部活检病理报告:鼻咽粘膜不典型增生,局部癌变。胸正位片:正常。B超:肝脏正常,双肾多发性囊肿,无肾积水。BUN 3.4mmol/L,Cr 95μmol/L。患者既往无胃十二指肠溃疡病史。诊断:①鼻咽癌,②多囊肾。于3月15 日行HDF方案化疗:①顺铂(DDP)30mg加入0.9％氯化钠注射液100ml中静
Male patient, 69 years old. Due to left tinnitus and deafness for more than 6 months, he was admitted to the hospital with nasopharyngeal carcinoma on March 12th, 2000 with 2 weeks of left facial numbness. Physical examination: The left pharyngeal recess of the nasopharynx disappeared. See 1×1.5cm of rough surface of new organism and no ulceration. The left carotid triangle touched a 1.5 x 2 cm lymph node, and the sternocleidomastoid muscle deeply touched a lymph node with a diameter of 2 cm. Homogeneous hard, no tenderness, activity. Nasopharyngeal biopsy pathology report: nasopharyngeal atypical hyperplasia, local cancer. Thoracic position: normal. Ultrasound: normal liver, multiple renal cysts, no hydronephrosis. BUN 3.4mmol/L, Cr 95μmol/L. The patient had no previous history of gastroduodenal ulcer. Diagnosis: 1 nasopharyngeal carcinoma, 2 polycystic kidneys. March 15, HDF regimen chemotherapy: 1 cisplatin (DDP) 30mg add 0.9% sodium chloride injection 100ml static