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我院在原发性支气管肺癌放射治疗中,遇见快速型心房纤颤1例,现报告如下:患者女性,58岁,因咳嗽3月,左胸背痛伴声嘶2月于1997年6月2日入院.胸片检查示:左肺上叶前段见致密块影,左肺门亦可见软组织肿块,考虑为中央型肺癌.胸部CT:左肺门区及左上肺可见一个约6cm×4cm不规则分叶状软组织肿块,病变侵及局部纵隔.经支窥镜活检及病理学检查诊断为原发性支气管肺癌,左上肺中央型T_3N_2M_0Ⅲ期.体查:血压16/11kpa,贫血貌,痛苦病容,全身浅表淋巴结未扪及;气管轻度右偏,左肺呼吸运动减弱,语颤减低,叩诊呈浊音,左肺呼吸音低,可闻及少量细湿罗音;心率80次/min,律齐,无杂音.患者既往无冠心病、风心病及高血压病史,无心悸、胸闷等病史.ECG检查正常,白细胞及分类正常.于1997年6月11日,开始用直线加速器8mvX线照射肿瘤所在部位,前后两野同照,Dml.48Gy×2/次,放疗4次后,于1997年6月16日20时患者突感心悸、胸闷、气促、头晕、乏力,心率约140次/min,律不齐,第一心音强弱不一,脉搏短绌,急
A case of rapid atrial fibrillation was encountered in radiotherapy of primary bronchogenic carcinoma in our hospital. The report is as follows: The patient was female, 58 years old. She suffered from coughing for 3 months, left chest and back pain associated with hoarseness, 2 months in June 1997. Admission on the 2nd. Chest X-ray examination showed that the upper segment of the left upper lobe showed a shadow of a dense mass. The left hilum was also seen as a soft tissue mass. The lung cancer was considered as central type. Chest CT: Left lung area and left upper lung can be seen as approximately 6cm×4cm. Regular lobulated soft tissue masses, lesions invading local mediastinum. Primary bronchogenic carcinoma diagnosed by biopsy and pathological examination. Left upper lung central type T_3N_2M_0 III. Physical examination: Blood pressure 16/11kpa, Anemia appearance, Painful disease , The whole body had superficial lymph node involvement; slight right tracheal deviation, left lung breathing motion weakened, speech fibrillation reduced, percussion was dull, left lung breath sounds low, can hear a small amount of fine wet rales; heart rate 80 beats/min, The patient was previously free of history of coronary heart disease, rheumatic heart disease and hypertension, and had no history of heart palpitations, chest tightness, etc. ECG examination was normal, white blood cells and classification were normal. On June 11, 1997, a linear accelerator 8mv X-ray was used. The location of the tumor, the same field before and after the two fields, Dml.48Gy × 2 times, 4 times after radiotherapy, in June 1997 At 20 o’clock on the 16th, the patient suddenly felt palpitations, chest tightness, shortness of breath, dizziness, fatigue, heart rate of about 140 beats/min, irregularities, different first sounds, short pulse, rapid