论文部分内容阅读
患者女性,41岁,住院号:91071。1989年2月底首先出现右侧枕部及眶额部头痛,此后双枕部均痛,呈持续性,有时伴有恶心、呕吐。1989年3月27日以“头痛原因待查”入院。 患者曾在1988年1月确诊右乳腺癌,进行了乳癌根治术。4在湖北省肿医瘤院接受钴放射治疗2个月。同年9月至1989年1月在我院外科进行化疗,总计用药量为环磷酰胺5.6g,氨甲喋呤0.21g,5-Fu7.0g。因白细胞减少对化疗难以忍受,于1989年1月8日出院。 体检:T36.5℃,P90次/min,R18次/min,Bp12.0/6.66kPa(90/50mmHg)。心肺腹部无异常。头部CT检查于4～7cm层面右颊后,枕部可见散在不规则斑片状及脑状异常强化影,周缘有
Female patient, 41 years old, hospital number: 91071. At the end of February 1989, the first right occipital and orbital frontal headache appeared. After that, both occiput had pain and persistent, sometimes accompanied by nausea and vomiting. March 27, 1989 to “cause of headache to be investigated” admission. The patient was diagnosed with right breast cancer in January 1988 and underwent radical mastectomy. 4 in Hubei Provincial Tumor Hospital received cobalt radiation therapy for 2 months. In the same year from September to January 1989 in our hospital surgery for chemotherapy, a total dose of cyclophosphamide 5.6g, methotrexate 0.21g, 5-Fu7.0g. Due to leukopenia unbearable chemotherapy, was discharged on January 8, 1989. Physical examination: T36.5 ° C, P90 times / min, R18 times / min, Bp12.0/6.66 kPa (90/50 mmHg). No abnormal heart and lung abdomen. Head CT examination in the right cheek 4 ~ 7cm layer, occipital irregular scattered patchy and abnormal enhancement of the brain shadow, peripheral