多学科协作成功诊治霍奇金淋巴瘤1例  

A case report of multidisciplinary collaboration in the diagnosis and treatment of Hodgkin's lymphoma and literature review

作　　者：钱志成[1] 杨冬梅[2] 杜国波[3] 

机构地区：[1]川北医学院附属医院重症医学科,四川南充637000 [2]川北医学院附属医院呼吸内科,四川南充637000 [3]川北医学院附属医院肿瘤科,四川南充637000

出　　处：《当代医学》2017年第31期91-93,共3页Contemporary Medicine

摘　　要：目的讨论霍奇金淋巴瘤合并重症肺炎、深静脉血栓的临床表现、诊治经过、病原学诊断及治疗方法。方法报道成功救治1例经典型霍奇金淋巴瘤合并重症肺炎呼吸衰竭、下肢深静脉血栓的患者,结合相关文献分析。结果该患者在优先处理危及生命的病症后获得最终确诊和有效治疗,得益于多学科协作。肿瘤患者常合并重症肺炎,重症肺炎病原学诊断往往困难。抗感染治疗难度大,抗生素选择应结合病原学检测、血清标记物以及原发疾病来综合考虑。深静脉血栓已成为临床常见并发症,对高危患者应强化意识,加强筛查和预防。结论疾病的诊断和治疗是一个持续的过程,对于复杂、危重病例尤其应加强多学科协作。Objective To explore clinical manifestations, pathogenesis, diagnosis and treatment of Hodgkin's lymphoma complicated with severe pneumonia and deep venous thrombosis. Methods A case of Hodgkin's lymphoma Complicated with severe pneumonia and deep venous thrombosis was reported and related literature was reviewed. Results On the platform of multidisciplinary collaboration, the critical ill patient survived from severe pneumonia, respiratory failure and deep venous thrombosis. The diagnosis of primary disease was confirmed at last. The pathogenesis of severe pneumonia usually difficult to get, which resulted from tumor. Anti-infective therapy is a thorny problem. Antibiotic selection should be combined with the detection of pathogens, serum markers, as well as the primary disease to consider. Deep vein thrombosis had become a common clinical complications, the risk of patients should strengthen awareness, strengthen screening and prevention. Conclusion The diagnosis and treatment of the disease is a continuous process, especially for the complicated and critical cases.

关 键 词：霍奇金淋巴瘤 肺部感染 深静脉血栓 

分 类 号：R733.1[医药卫生—肿瘤]