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1 1

2

3 PTPE 3

4 PTPE CT Grade 2 A PTPE PTPE 4

5 A S 3 3 B H3,P1,N1,M1, LM0, R gS, ptype 3, 60 x 50mm, pt4b/siurinary bladder, int, INF, ly2, v1, ppm070mm, pdm0120mm, prm 1mm, M1bperitoneal metastasis, pn1a 1/8, #252. pt4bn1am1b, pstage IVB UICC 7 th C 5 2 CT mm mfolfox+bv #2 #3 #4 #5 Grade 2 Grade 2 5

6 Grade1Grade 2 5FU volus )5FU Grade 2 mfolfox+bv 6 A PET CT 4 6.2cm 5mm PET A PET CT 8 21 PTPE 10 CT 745 ml 350ml 68%8 22 ICG15 3.6%S4-8 PTPE PTPE S4-8 6

7 12 05 IVR Q IVR 11 IVR-CT IVR P 2/ P mmHg ml 23G 7

8 P8 18G J 6F 15 5F I/ml 3ml/ 12ml mmHg mmHg F 5.2F 10ml 2ml 12ml 3ml 5 2ml 7ml 5F 300 I/ml 2ml/ 8

9 8ml mmHg A A P, 50mg 1A PTPE mg 7 00 P 9

10 8 15 A A WBC 9220 Hb 13.1 Ht 41.8 Plt 6.6 TP 7.8 Glu 174 BUN 21 Cr 0.61 AST 1844 ALT 1319 T.Bil 2.0 LDH 1862 K 4.7 CRP 3.4 PTPE ASTALT A ml/ 60ml/ 140ml/ A D AST ALT PTPE mmHg 110 CV 3A 80ml/ 60ml/ 140ml/ / E E F 10

11 WBC Hb 9.0 Ht 30 Plt 4.1 TP 5.8 Glu 304 BUN 27 Cr1.18 AST 2212 ALT 1206 T.Bil 1.9 LDH 2440 K 4.1 CRP 3.6 Hb 4.0g/dl g/dl 3.4g/dl 50kg 900ml400ml Hb1.5g 42Kg 750ml A D G ICU F H H JCS:020GCS: E3V4M5 I ml/hr 1A 18ml 500ml2 4A( ACLS 35 ) H J K L M G ICU L E O L 1 2cm 11

12 J D ICU N 3-5 F E K J D H L M ACLS 35 4A 8A D H ( I ) PTPE L A A WBC Hb 6.4 Ht 21.6 Plt 4.3 TP 4.8 Glu 194 BUN 26 Cr 1.2 AST 1986 ALT 1596 T.Bil 1.3 LDH 2968 K 5.2 PH 6.61 pco po BE A ( 1 ) O O ICU ICU

13 23 :20 ICU D ICU 250ml 2 500ml1 14A ACLS mg iv FiO2:1.0 SIMV 4 DC200j-260j-360j 360j ICU A

14 PTPE PTPE PTPE 14

15 70% T 0.027ng/ml PTPE

16 A S 3 3 B S B S C C 3 30 C CV A 16

17 PET 1% CT D PTPE D H I PTPE 21: A A A 17

18 18

19 IVR PTPE 19

20 CT CTCK T PTPE PTPE PTPE PTPE PTPE 20

21 CTCK T 21

22 4 22

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