After chemotherapy the incidence of hospital-acquired pneumonia with the clinical study of prognostic factors.docVIP
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After chemotherapy the incidence of hospital-acquired pneumonia with the clinical study of prognostic factors
Author: Liao Qing-mei, Peng-Hui Liu, Hong-Mei Wang, Guo-qing
[Keywords:] cancer
[Keywords:] cancer; Chemotherapy hospital-acquired pneumonia; pathogens
0 Introduction
Pneumonia hospitalized cancer patients after chemotherapy is a common complication, a retrospective analysis of cancer patients after chemotherapy in our department from hospital-acquired pneumonia incidence, pathogens, drug susceptibility and treatment and prognosis of the relevant factors.
An object and method
1.1 Object 199712/200412 our hospital chemotherapy in cancer patients randomly selected cases of 3900 cycles of chemotherapy, after chemotherapy, 357 cases of fever, cough, sputum, lung appeared dry and wet sounds, chest CT, chest, or chest X-ray showed pulmonary Ministry of infection after chemotherapy in the clinical diagnosis of hospital-acquired pneumonia, sputum culture positive. of which 315 cases of solid tumors, hematopoietic system tumors 40 (male 247, female 33) patients with a median age of 56 (21 ~ 86) years old.
1.2 Methods according to the national clinical laboratory operating procedures of the relevant methods will be suspected after chemotherapy in patients with hospital-acquired pneumonia in the morning and after rinsing first Koutan inoculated into blood agar and cultured at 37 ℃ China Blue Plate 18 ~ 24 h, using the German Micro Scam Walk Away96 automatic identification systems for identification of bacteria and used to do common susceptibility test MIC method. using SPSS statistical analysis software package, line χ 2 analysis.
2 Results
2.1 The relationship between pneumonia and white blood cells in the course of 3900 cases of cancer chemotherapy, 25% (975 cases / 3900 treatment) and after chemotherapy in patients with peripheral WBC reduced by 3 ~ 4 and varying degrees of fever, fever, the average starting time stopped afte
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