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肿瘤患儿化疗后感染早期表现与感染严重程度相关分析

张晓莉 柯志勇 黄礼彬 罗学群

中国实用儿科杂志2011,Vol.26Issue(2):128-130,3.
中国实用儿科杂志2011,Vol.26Issue(2):128-130,3.

肿瘤患儿化疗后感染早期表现与感染严重程度相关分析

Relation between early manifestations and severity of chemotherapy-related infection in children with tumor

张晓莉 1柯志勇 1黄礼彬 1罗学群1

作者信息

  • 1. 中山大学附属第一医院儿科,广州,510080
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摘要

Abstract

Objective To discuss the relation between early manifestations and severity of chemotherapy-related infection in children with tumor. Methods The manifestations of infection during or after chemotherapy in 346 cases of 136 children with tumor were analyzed, and the differences in early manifestations between severe and mild infection were compared. Results One hundred and thirty-three cases had severe infection, and 213 cases had mild infection. The incidences of chill, ague, fatigue, poor peripheral circulation and neutropenia in severe infection were significantly higher than those in mild infection. The highest temperature and the level of CRP at 6 to 12 hours during fever in severe infection were significantly higher than those in mild infection; on the other hand, the probability to be severe infection in children with intensive chemotherapy, chill, ague, fatigue, poor peripheral circulation, absolute neutrophil count (ANC) ≤0.5 ×109/L, CRP ≥ 40 mg/L, temperature ≥ 39.5 ℃ was higher than that in those without these manifestations (P < 0.05).Conclusions Children with intensive chemotherapy, chill, ague, fatigue, poor peripheral circulation, absolute neutrophil count (ANC) ≤ 0.5 × 109/L,CRP ≥ 40 mg/L,temperature ≥ 39.5 ℃ are more frequently to have severe infection.

关键词

感染/肿瘤/儿童/重症感染

分类

医药卫生

引用本文复制引用

张晓莉,柯志勇,黄礼彬,罗学群..肿瘤患儿化疗后感染早期表现与感染严重程度相关分析[J].中国实用儿科杂志,2011,26(2):128-130,3.

中国实用儿科杂志

OA北大核心CSCDCSTPCD

1005-2224

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