恶性肿瘤与发烧陈年的命题、临床的困难(国外英文资料).docVIP

恶性肿瘤与发热陈年的命题、临床的难题(国外英文资料) Malignant tumor and fever: the thesis of Chen, clinical problem 2011-01-17 Middle image classification number: R5 document identification code: A Article number: 1005-2194 (2000) 11-0645-03 Malignant tumor patient FUO occurs in two cases: the fever caused by a malignant tumor itself and the fever caused by a malignant tumor. The latter refers to the FUO caused by an opportunistic infection caused by a malignant tumor itself and the immune function of the immune response that is caused by the treatment. Infection remains the leading cause of malignancy in FUO. The immune injury caused by multiple factors are high risk factors of the malignant tumor patient infection occurs, usually comes from primary or secondary immune deficiency or suppress the immune system comes from the use function of drugs and other treatments. Caused by malignant tumor risk factors for infectious FUO roughly divided into two levels: (1) low risk factors, including malignant tumor itself, the corresponding radiotherapy or chemotherapy, neutropenia 10 d, the destruction of mucosal immune, indwelling catheter, etc., the pathogen infection, mainly caused by gram positive (G +) and gram-negative (G -) bacteria, respiratory viruses or herpes virus and cartesian pneumocystis of rare. (2) the high risk factors, including malignant tumor itself, radiotherapy or chemotherapy, neutropenia 10 d, the destruction of mucosal immune, humoral or cellular immune defect or suppressed, cause infection pathogens: including G + and G - bacteria aerobic and anaerobic bacteria. The virus mainly focuses on respiratory syncytial virus, influenza virus, adenovirus, herpes simplex virus and cytomegalovirus. Mold includes candida, aspergillus, cryptococcus, Trichosporon, Fusarium and Phaeohyphomycosis; The parasite is dominated by PCP and toxoplasma. In the pathogen, resistant bacteria (enterococcus, pneumococcus, staphylococcus aureus, produce ESBL e. coli, etc.), respiratory virus (influen