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患者男,55岁,住院号165677,因左胸痛伴咳嗽半年入院。经纤维支气管镜检查及活检确诊为左肺中心型鳞癌,于1990年4月开始经左支气管动脉灌注顺铂及丝裂霉素等药物治疗,间隔4周重复1次,于1990年9月4日进行第4次治疗。术中置管顺利,经手推60％复方泛影葡胺10ml,证实导管尖端已插入位于胸9椎体平面,且与左第8肋间动脉共干的左支气管动脉后,灌注顺铂60mg、丝裂霉素10mg,历时30分钟,撤除导管。注药后约2小时,患者出现双下肢麻木、无力,胸6—胸10平面皮肤痛觉迟钝,排尿困难。4小
The patient was a 55-year-old man with a hospitalization number of 165677. He was admitted to the hospital with left chest pain and cough for six months. The diagnosis of a central squamous cell carcinoma of the left lung was confirmed by fiberoptic bronchoscopy and biopsy. In April 1990, drugs such as cisplatin and mitomycin were infused through the left bronchial artery. The treatment was repeated at intervals of 4 weeks in September 1990. The fourth treatment was performed on the 4th. The intraoperative catheterization was successful. After hand-pushing 60% of the compound diatrizoate 10ml, it was confirmed that the catheter tip had been inserted into the plane of the thoracic 9 vertebral body, and the left bronchial artery co-dried with the left eighth intercostal artery was infused with cisplatin 60 mg. Mitomycin 10 mg for 30 minutes, catheter removal. About 2 hours after the injection, the patient developed numbness and weakness in both lower extremities, and her chest pains were dull in the 6-chest and 10th plane skin, which made it difficult to urinate. 4 small