58 cases of fever in cancer patients Clinical observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 7 58 cases of fever in cancer patients Clinical observation and nursing care [Keywords:] Fever Clinical Cancer Care Fever is a common clinical symptoms of cancer patients has been reported that malignant tumors accounted for 60.1% of fever cases, of which 47.4% of patients with malignant tumors directly related to the heat. And the course of fever in cancer patients, mostly caused by infection. Therefore, cancer patients during the observation of fever and causes fever identification, to take effective nursing interventions can reduce the mortality of cancer patients and improve cancer treatment. 1 Clinical data Random sample of our hospital in November 2008 -2010 Internal Medicine in October 215 cases of malignant tumor patients were admitted, including body temperature 38 , for 10 days in 58 patients, 38 males and 20 females, aged 5-88 years, mean 57. of this group of patients observed thermal type, thermal process and the peripheral blood and fecal examination, some patients do throat swabs, pleural effusion culture. with antibiotic treatment, the body temperature returned to normal in 38 cases, the anti-tumor treatment, body temperature returned to normal in 15 cases, accounting for 26%, by a variety of treatment, body temperature is still lower in 5 cases. 2 causes of fever 2.1 fever in cancer patients with infection of about 2 / 3 caused by infection, and the majority of cases associated with leukopenia. Tumor patients prone to infection because: tumors are the cause of edema, erosion, ulcers, necrosis, oppression and obstruction, can damage the skin and mucosal barrier, so invasion of bacteria easily. chemotherapy, radiotherapy-induced leukopenia. WBC count dropped to 1.5 109 / L, the risk of infection of up to 100%. humoral immunity and cancer patients are subject to granulocyte immune suppression, likely to be bacteria, fungi, viruses are violated. examination and treatment operations, such as endotrac