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1临床资料患者,女性,60岁,诊断为右肺腺癌Ⅳ期。该患者2011-10出现朐闷喘憋,2011-12-2胸部CT示右肺上叶肿块,右侧胸腔积液,右肺、右侧胸膜多发小结节,纵膈及右肺门多发肿大淋巴结,考虑转移。胸水中找到腺癌细胞。头颅及腹部检查及骨扫描均未见转移。该患者既往无特殊病史,无药物过敏史。2011-12-16一线给予患者紫杉醇+卡铂化疗,泰素(百时美施贵宝公司生产)175 mg·m~(-2)dl,卡铂AUC(6)dl,同时按说明书给予患者预防止吐、抗过敏等治疗。
A clinical data patients, women, 60 years old, diagnosed as right lung adenocarcinoma Ⅳ. The patient 2011-10 appeared boredom gasping, 2011-12-2 chest CT showed right upper lobe mass, right pleural effusion, right lung, right pleural nodules, mediastinal and right hilar multiple swollen Lymph nodes, consider metastasis. Pleural effusion to find adenocarcinoma cells. No head and abdominal examination and bone scan were seen. The patient had no previous history, no history of drug allergy. Patients with paclitaxel + carboplatin chemotherapy, paclitaxel (Bristol Myers Squibb Company production) 175 mg · m ~ (-2) dl, carboplatin AUC (6) dl, according to the instructions given to patients with precautionary Spit, anti-allergy treatment.