田理中医药治疗儿童鼻咽癌放化疗术后病案1则
Tian Li Uses Traditional Chinese Medicine to Treat a Child After Radiotherapy and Chemotherapy for Nasopharyngeal Carcinoma
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1.成都中医药大学附属医院耳鼻喉科,成都 610000
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习媛, 田理. 田理中医药治疗儿童鼻咽癌放化疗术后病案1则[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42477765&Fpath=home&index=0
XI Yuan, TIAN Li. Tian Li Uses Traditional Chinese Medicine to Treat a Child After Radiotherapy and Chemotherapy for Nasopharyngeal Carcinoma[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42477765&Fpath=home&index=0
习媛, 田理. 田理中医药治疗儿童鼻咽癌放化疗术后病案1则[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42477765&Fpath=home&index=0 DOI:
XI Yuan, TIAN Li. Tian Li Uses Traditional Chinese Medicine to Treat a Child After Radiotherapy and Chemotherapy for Nasopharyngeal Carcinoma[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42477765&Fpath=home&index=0 DOI:
病史摘要,2,患儿王某某(门诊号:2021110191973),男,14岁,四川眉山人,初诊时间:2022年3月31日。主诉:反复鼻塞2年,鼻咽癌术后7月余。患者2年前因反复双侧鼻阻,偶有频繁喷嚏,在眉山市中医院行CT检查发现鼻咽部及顶后壁软组织肿块。随后进一步就诊于四川省人民医院,完善相关检查后于2021年8月20日在全麻鼻内镜等离子下行鼻咽部肿物切除+右侧上颌窦功能开放+双侧下鼻甲骨折外移术。之后于四川省肿瘤医院行33次放疗及4周期化疗(顺铂+紫杉醇、贝伐珠单抗)。刻下症:患者神清,精神疲倦,鼻塞,口干、咽干明显,乏力,行动尚可,晨起头痛,无发热恶寒、头晕、腹痛等不适,胃中不适,伴有烧心感,打嗝,冒酸,纳差,睡眠易醒,二便调。近期体重未见明显下降。舌淡,舌中有裂纹,苔黄腻,脉沉细。中医诊断 颃颡岩(气血两虚,肝胃不和)西医诊断 1.鼻咽癌术后(pT1N2M0 III期 放疗后 4周期TP方案化疗联合靶向治疗后);2.化疗后骨髓抑制;3.恶性肿瘤中医治疗干预措施 中医治法:益气活血养阴,疏肝和胃;中药处方:八珍汤合丹栀逍遥散加减。疗效转归 患者中药治疗后复查血常规提示白细胞、血小板、血红蛋白正常,影像学未见新病灶,提示康复良好。目前除单侧轻度鼻塞,其余临床症状基本消失,继续随访。
Summary of medical history, The patient Mr.Wang (outpatient clinic number: 2021110191973), male, 14 years old, from Meishan, Sichuan, first visit: March 31, 2022. Chief Complaint: Repeated nasal obstruction for 2 years, 7+ months after nasopharyngeal carcinoma. Two years ago, the patient suffered from repeated bilateral nasal obstruction and occasional frequent sneezing. In the Meishan Hospital of Traditional Chinese Medicine, a CT scan revealed a soft tissue mass in the nasopharynx and parietal posterior wall. Afterwards, he went to the Sichuan Provincial People's Hospital for further treatment, and after completing the relevant examinations, he underwent nasopharyngeal tumor resection under general anesthesia and nasal endoscopic plasma on 2021-08-20 + right maxillary sinus function opening + bilateral inferior turbinate fracture lateralization . Afterwards, she underwent 33 times of radiotherapy and 4 cycles of chemotherapy (cisplatin + paclitaxel, bevacizumab) in Sichuan Cancer Hospital.Syndrome Consciousness, mental fatigue, nasal congestion, obvious dry mouth and throat, fatigue, normal movement, headache in the morning, no fever, chills, dizziness, abdominal pain and other discomforts, stomach discomfort, accompanied by heartburn, hiccups, sourness , Anorexia, sleep easy to wake up, two stools. There has been no significant weight loss recently. Pale tongue, with cracks in the tongue, yellow and greasy coating, and thin pulse.,TCM diagnosis ,Nasopharyngeal carcinoma (Qi and blood deficiency, liver and stomach disharmony).,Therapeutic methods, Nourishes qi, activates blood and nourishes yin, soothes liver and stomach.,TCM prescription, Bazhen decoction combined with Danzhi Xiaoyao powder.,Western medicine diagnosis, 1. Postoperative nasopharyngeal carcinoma (pT1N2M0 stage Ⅲ radiotherapy followed by 4 cycles of TP chemotherapy combined with targeted therapy). 2. Myelosuppression after chemotherapy. 3. TCM treatment of malignant tumors. Curative outcomes After the patient's traditional Chinese medicine treatment, the blood routine examination showed that the white blood cells, platelets, and hemoglobin were normal, and no new lesions were found on imaging, indicating a good recovery. At present, except for unilateral mild nasal congestion, the other clinical symptoms have basically disappeared, and follow-up is continued.
鼻咽癌名中医经验
Nasopharyngeal carcinomaExperience of famous Chinese medicine
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