[病例]男,38 y.因脑胶质细胞瘤术后2a,第3次化疗入院.无头痛、头晕及恶心呕吐.神志清,BP17/12 kPa,言语清晰,记忆力、定向力正常.头发稀疏(化疗所致),双瞳孔等大等圆,对光反应正常存在.呼吸平稳;心肺未见异常.四肢活动好.生理反射存在,病理反射未引出.血常规、胸透及ECG检查均正常.入院后给予长春新城3mg iv(d1),丝裂霉素4mg(d2～6),V_M-_(26)50 mg入液iv gtt(d2～6).化疗开始后感恶心、呕吐,d6停化疗后的恶心且伴腹胀、腹痛,无头痛及憋气.查体:腹软,全腹压痛,无反跳痛,肠呜音稍弱.腹透示:肠胀气,未见液平.血白细胞计数及中性粒细胞正常.考虑腹痛腹胀为化疗所 [Case] ​​Male, 38 y. Due to glioblastoma 2 a, the third chemotherapy was admitted to the hospital without headache, dizziness, nausea and vomiting, with clear consciousness, BP17 / 12 kPa, clear speech, normal memory and orientation. Sparse (chemotherapy-induced), double pupil and other large circle, the normal response to light. Breathing stable; no abnormal heart and lung. Extremities activity is good. Physiological reflex exist, the pathological reflex did not lead to blood tests, chest X-ray and ECG were (D2), mitomycin 4 mg (d2 ~ 6), V_M-26 (50 mg) into the liquid iv gtt (d2 ~ 6) after chemotherapy.After chemotherapy began to feel nausea and vomiting, D6 after chemotherapy and nausea and abdominal distension, abdominal pain, no headache and suffocation .Check the body: abdominal soft, full abdominal tenderness, no rebound tenderness, bowel sounds weaker .Penal perforated: flatulence, no level. Blood white blood cell count and neutrophil normal. Consider abdominal pain and abdominal distension as chemotherapy