1
... 3... 3... 3... 4...13...16...18...20...22 2
PTPE 3
PTPE CT Grade 2 A PTPE PTPE 4
A S 3 3 B H3,P1,N1,M1, LM0, R23 15 20gS, 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 4 8 2 9mm mfolfox+bv #2 #3 #4 #5 Grade 2 Grade 2 5
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
12 05 IVR Q 13 50 IVR 11 IVR-CT IVR P 2/ 14 00 14 15 P8 16490mmHg10 14 20 1 10ml 23G 7
P8 18G 0.035 J 6F 15 5F 1 2 300 I/ml 3ml/ 12ml 14 35 19292mmHg 14 50 212100mmHg 15 10 5.2F 5.2F 10ml 2ml 12ml 3ml 5 2ml 7ml 5F 300 I/ml 2ml/ 8
8ml 15 35 15 55 16 05 5 194 109mmHg 16 10 16 20 3 16 23 16 50 1A 17 30 1A 22 20 P, 50mg 1A PTPE 2 20 15mg 7 00 P 9
8 15 A 8 20 1A 11 00 2 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 14 00 15 50 1A 16 30 80ml/ 60ml/ 140ml/ 17 00 A D AST ALT PTPE 19 30 21 30 90mmHg 110 CV 3A 80ml/ 60ml/ 140ml/ 21 40 3 5/ 21 47 E E 120130 F 10
WBC 12330 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 8 5 12.4g/dl 3.4g/dl 50kg 900ml400ml Hb1.5g 42Kg 750ml 21 53 A D G ICU 21 53 F 22 00 H 22 01 H JCS:020GCS: E3V4M5 I 5 120 10ml/hr 1A 18ml 500ml2 4A( ACLS 35 ) 22 07 22 10 H J K L M G ICU L 22 15 E O L 1 2cm 11
22 20 200J 22 30 D ICU N 3-5 F E K J D H L M ACLS 35 4A 8A 22 45 D H ( I ) PTPE 21 30 30 22 58 L A 22 09 22 45 A WBC 13800 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 pco2 52.1 po2 33.9 BE-30.1 23 00 A ( 1 ) O O ICU ICU 2 1 12
23 :20 ICU D ICU 250ml 2 500ml1 14A ACLS 35 1000mg iv FiO2:1.0 SIMV 4 DC200j-260j-360j 360j 23 30 ICU 23 45 0 06 22A 10 0 11 13
PTPE PTPE PTPE 14
70% T 0.027ng/ml 20 21 30 PTPE 12 6 15
A S 3 3 B S B S C C 3 30 C CV A 16
PET 1% CT D PTPE 22 45 D H I PTPE 21:30 30 23 00 A 23 45 A A 17
18
IVR PTPE 19
CT CTCK T PTPE PTPE PTPE PTPE PTPE 20
CTCK T 21
4 22