Of chemotherapy treatment of 2 cases of upper respiratory tract infection experience.doc

 PAGE \* MERGEFORMAT 5 Of chemotherapy treatment of 2 cases of upper respiratory tract infection experience [Keywords:] cancer, chemotherapy, and upper respiratory tract infection 1 Clinical data Case l: patient, male, aged 72, for “cough 4 days” to come for treatment. Patients outside the hospital 6 months before the diagnosis of left lung cancer (IIb stage, and chemotherapy to the GP 4 times and discharged 15 days before the end of chemotherapy. 4 days ago no obvious incentive to cough, even white phlegm cough, cough, compared to morning and evening play, out-patient to the oral Roxithromycin Capsules 0.15g, 2 times / d, no significant symptom relief, to hospital. hospitalized Physical examination: general, can be, the superficial lymph node enlargement, no positive signs of heart and lung, abdomen soft, no tenderness, rebound tenderness, liver and spleen ribs no time, no lower extremity edema. fluoroscopy, no significant ECG exception. check routine blood test showed: WBC 4.3 109 / L, N 64.6%, Hb 146g / L, PLT 126 109 / L, RBC 3.28 1012 / L. Therefore, (1 to ceftazidime injection 2.0g, intravenous infusion, 3 times / d. (2 implementation of protective isolation of patients, the indoor air every day, UV radiation 2 to 4 times, each time 30min, room personnel wearing masks, using a fixed thermometer, blood pressure in patients with symptoms .3 days later to check routine blood test showed: WBC 4.8 109 / L, Hb 142g / L, N 59.2%, PLT 122 109 / L, RBC 3.57 1012 / L. Case 2: The patient, female, 54 years old, due to “cough, sputum 1 week” to come for treatment. 2 years ago outside the hospital diagnosed patients with acute non-lymphocytic leukemia, type M5 and HA regimen for 6 times, 2 weeks before the end of chemotherapy .1 weeks before discharge after cold cough, white phlegm, cough with morning and evening than play, since the service amoxicillin 0.5g, 2 times / d, no significant symptom relief, to hospital. admission examination: general can