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61例肺癌患者继发216例次感染分析
引用本文:王琳,屠昌华,马加,汪学智,王海运,聂芸,高玲. 61例肺癌患者继发216例次感染分析[J]. 中国肿瘤, 2005, 14(10): 692-693
作者姓名:王琳  屠昌华  马加  汪学智  王海运  聂芸  高玲
作者单位:1. 解放军第85医院,上海,200235
2. 昆明医学院附属二院,云南,昆明,650101
摘    要:
[目的]探讨肺癌继发感染的相关因素.[方法]回顾性调查61例肺癌患者继发感染类型、部位、病原学以及其与肺癌分期、抗生素应用等因素的关系.[结果]61例肺癌患者共发生216例次继发感染.44.3%(27/61)为NSCLC肺癌手术1个月后发生的感染;27.9%(17/61)小细胞肺癌(SCLC)化疗1个月内发生的感染;50.8%为NSCLC合并存在恶病质.其主要病原体为革兰氏阴性细菌.[结论]肿瘤中晚期、手术化疗、合并COPD或恶病质是肺癌患者继发感染的易感因素.

关 键 词:肺肿瘤  继发性感染
文章编号:1004-0242(2005)10-0692-02
收稿时间:2005-09-07
修稿时间:2005-09-072005-09-12

An Analysis of 216 Secondary Infection in 61 Cases with Pulmonary Cancer
WANG Lin, TU Chang-hua, MA Jia,et al.. An Analysis of 216 Secondary Infection in 61 Cases with Pulmonary Cancer[J]. CHINA CANCER, 2005, 14(10): 692-693
Authors:WANG Lin   TU Chang-hua   MA Jia  et al.
Affiliation:1. The 85 Hospital of PLA, Shanghai 200235, China;2. The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
Abstract:
[Purpose]To investigate the related factors of secondary infection in lung cancer. [Meth-ods] The related factors such as types,location,nosetiology ofsecondary infection,staging and an-tibiotics application in 61 cases with lung canceroccurred secondary infection were analyzed retro-spectively. [Results]Atotalof216 episodes ofsecondary infection happened in 61 cases with lungcancer. Ofthe 61 cases,44.3% (27/61)secondary infection occurred with non-sm allcelllung cancer(NSCLC) 1 m onth postoperation, 27.9% (17/61) with sm allcelllung cancer (SCLC) treated withchem otherapy within 1 m onth,50.8% with NSCLC com plicated with cancerous cachexia.The majoritypa thogen was Gramnegative bacteria.[Conclusion] Surgery,chem otherapy,and cancerous cachexiaare susceptible factorto secondary infection in patients with advanced stage lung cancer.
Keywords:lung neoplasms   secondary infection
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