| 一例肿瘤合并2019冠状病毒病(COVID-19)患者的治疗决策分析 |
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| 引用本文： | 叶子奇,洪昀,吴秀华,洪东升,张燕芳,董曦浩,饶跃峰,卢晓阳. 一例肿瘤合并2019冠状病毒病(COVID-19)患者的治疗决策分析[J]. 浙江大学学报(医学版), 2020, 49(2): 245-248. DOI: 10.3785/j.issn.1008-9292.2020.03.12 |
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| 作者姓名： | 叶子奇 洪昀 吴秀华 洪东升 张燕芳 董曦浩 饶跃峰 卢晓阳 |
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| 作者单位： | 浙江大学医学院附属第一医院药学部, 浙江 杭州 310003 |
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| 基金项目： | 浙江省自然科学基金委/浙江省药学会联合基金(LYY18H310002);浙江省药学会肿瘤药学专项基金(ZYYZL01) |
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| 摘 要： | 目的: 探讨亟待进行肿瘤根治术的患者合并2019冠状病毒病（COVID-19）后如何选择手术治疗时机。方法: 详细分析1例乙状结肠癌合并COVID-19患者的治疗过程，以及该患者在病毒两次转阴后进行根治性手术后的恢复情况。结果: 患者术后恢复良好，炎症指标、发热等临床表现改善，肺部病灶也维持稳定。结论: 对于亟待进行肿瘤根治术且合并COVID-19的患者，在符合病毒核酸检测两次阴性之后进行肿瘤根治术是可行的。
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| 关 键 词： | 2019冠状病毒病 严重急性呼吸综合征冠状病毒2 新型冠状病毒肺炎 结肠癌 根治性手术 治疗时机 |
| 收稿时间： | 2020-03-04 |
Management of a colon cancer patient complicated with COVID-19 |
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| YE Ziqi,HONG Yun,WU Xiuhua,HONG Dongsheng,ZHANG Yanfang,DONG Xihao,RAO Yuefeng,LU Xiaoyang. Management of a colon cancer patient complicated with COVID-19[J]. Journal of Zhejiang University. Medical sciences, 2020, 49(2): 245-248. DOI: 10.3785/j.issn.1008-9292.2020.03.12 |
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| Authors: | YE Ziqi HONG Yun WU Xiuhua HONG Dongsheng ZHANG Yanfang DONG Xihao RAO Yuefeng LU Xiaoyang |
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| Affiliation: | Department of Pharmacy, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China |
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| Abstract: | Objective: To explore the feasibility of radical resection for cancer patients complicated with coronavirus disease 2019 (COVID-19). Methods: The management and clinical outcome of a sigmoid cancer patient with COVID-19 were analyzed. Results: The inflammation indicators and fever of this patient were effectively controlled and the lung lesions remained stable after active anti-viral treatment, then the radical colorectomy was performed after the viral negative conversion for twice. Conclusion: The case indicates that radical resection can be performed in SARS-CoV-2 patients with twice-negative SARS-CoV-2 nucleic acid testing results. |
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| Keywords: | Coronavirus disease 2019 Severe acute respiratory syndrome coronavirus 2 Novel coronavirus pneumonia Colon cancer Radical resection Timing of treatment |
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