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1例卵巢浆乳癌晚期患者不明原因发热的诊疗过程分析

Diagnosis Procedure for Fever of Unknown Origin in Patient with Advanced Ovarian Plasma Breast Cancer: One Case Analysis
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摘要 目的分析卵巢浆乳癌晚期患者患菌血症可能的感染源及致病菌。方法对该名患者住院期间的抗菌药物使用情况进行分析。结果患者发热原因很可能是肿瘤侵袭肠壁导致的肠瘘,或者肿瘤负荷过大后出现液化坏死,异位入血导致菌血症。结论对于腹腔晚期癌症患者出现的感染应综合考虑可能的情况,避免片面诊断和用药。 Objective To analyze the treatment of fever of unknown origin in an advanced ovarian plasma breast cancer patient and to investigate the possible infection factors and pathogenic bacteria of bacteremia in such patients. Methods Usage of antibacterial agents was analyzed in the patient during hospitalization. Results The cause of the patient's fever was possibly intestinal fistula induced by the tumor mass eroding the intestinal wall, or excessive tumor load resulting in liquefied necrosis and ectopic entrance of the cancerous cells into blood, which led to baeteremia. Conclusion For infection in patients with abdominal advanced cancer, the patients' conditions should be comprehensively considered, and one- sided diagnosis and drug use should be avoided.
作者 马荣 刘治军
出处 《中国药事》 CAS 2013年第2期232-234,共3页 Chinese Pharmaceutical Affairs
关键词 临床药学 不明原因发热 抗感染 clinical pharmacy fever of unknown origin anti-infection
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