肿瘤药学Issue(3)：233-236,4.DOI:10.3969/j.issn.2095-1264.2014.047
白血病化疗后并发卡氏肺孢子菌肺炎的临床观察和护理经验
Clinical Observation on the Leukemia Combined with Pneumocystis Carinii Pneumonia after Chemotherapy and the Nursing Experiences
郑高英 1金淑 1陆慧慧1
作者信息
- 1. 杭州市红十字会医院，浙江杭州，310003
- 折叠
摘要
Abstract
Objective To observe the clinical manifestations of cartesian pneumocystis pneumonia (PCP) of leukemia pa-tients after chemotherapy and summarize the nursing experience. Methods The clinical data of 7 cases of leukemia patients with concurrent PCP in our department between July 2010 and July 2013 were retrospectively analyzed, and their clinical manifesta-tion, treatment and nursing key points were summarized here. Results After active treatment and nursing, four leukemia patients with PCP turned better and continued chemotherapy, of which three continued chemotherapy till now, but one got PCP infection again in later two courses of chemotherapy and finally died of respiratory failure. Three cases of infection were controlled and left hospital with no chemotherapy, and now in the rehabilitation. Conclusion Leukemia patients with concurrent PCP after chemotherapy had the main manifestations like chest tightness, dry cough, different degrees of fever and progressive difficulty in breathing. Auxiliary diagnosis of X-ray and CT examination had certain significance. Nursing care should include close obser-vation on the patient’s vital signs, adverse drug reactions and change of oral mucosa, as well as protective isolation, prevention of cross infection, and targeted psychological intervention to relieve symptoms.关键词
卡氏肺孢子菌肺炎/白血病/化疗/护理Key words
Cartesian pneumocystis pneumonia/Leukemia/Chemotherapy/Nursing分类
医药卫生引用本文复制引用
郑高英,金淑,陆慧慧..白血病化疗后并发卡氏肺孢子菌肺炎的临床观察和护理经验[J].肿瘤药学,2014,(3):233-236,4.
