康莱特注射液联合甲泼尼龙治疗1例肺癌癌性发热患者的经验总结  

Summary of experience in the treatment of one case of lung cancer fever w ith Kanglaite injection combined with methylprednisolone

作　　者：谭姿 张虹[2] Tan Zi;Zhang Hong(Tianjin University of Chinese Medicine,Tianjin 300193;The Second Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300143)

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第二附属医院,天津300143

出　　处：《当代医药论丛》2020年第19期147-148,共2页

基　　金：天津市高等学校创新团队培养计划资助(TD13-5051)。

摘　　要：发热是恶性肿瘤患者的常见症状。本文选取天津中医药大学第二附属医院2019年4月收治的肺癌癌性发热患者1例,回顾其诊治过程。该患者为1名36岁的青年男性,于2019年4月1日到天津中医药大学第二附属医院就诊,主诉咳嗽咳痰6个月,胸痛伴间断发热4月余。6个月前,他曾因发现左上肺占位行左肺上叶切除术,术后病理检查显示其患有低分化肺腺鳞癌。术后1月余接受过1次化疗,但因耐受不佳自行停止化疗。之后出现间断发热症状,遂至天津中医药大学第二附属医院就诊。入院后,其体温在36℃至39℃之间波动。经抗感染治疗后,仍存在间断发热的症状。考虑是由患者化疗后气阴亏虚所致,遂予康莱特注射液以益气养阴、消癥散结,并联合甲泼尼龙行抗炎退热治疗。经近2周的治疗,患者的发热间期逐渐延长、热势降低,后经门诊汤药调理至体温恢复正常。Fever is a common symptom in patients with malignant tumors.In this paper,a patient with lung cancer and fever admitted to the Second Affiliated Hospital of Tianjin University of Chinese Medicine in April 2019 was selected to review the diagnosis and treatment process.The patient was a 36-year-old young male who visited the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine on April 1,2019.The chief complaint was cough and sputum for 6 months and chest pain accompanied by intermittent fever for more than 4 months.Six months earlier,he had undergone a lobectomy for occupying left upper lung,and postoperative pathological examination revealed a poorly differentiated adenosquamous carcinoma of the lung.One time of chemotherapy was received more than 1 month after the operation,but the chemotherapy was stopped due to poor tolerance.Later,he developed intermittent fever and went to the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine.After admission,her body temperature fluctuated between 36℃and 39℃.After anti-infective treatment,there are still intermittent symptoms of fever.Considering that the patient suffered from deficiency of Qi and Yin after chemotherapy,Kanglaite injection was given to improve Qi and nourish Yin,eliminate the disease and disperse the syndrome,and methylprednisolone was combined for anti-inflammatory and antipyretic treatment.After nearly 2 weeks of treatment,the patient’s fever interval was gradually prolonged and the fever potential decreased,and then the patient’s body temperature was restored to normal by outpatient decoction.

关 键 词：肺癌 发热 康莱特注射液 甲泼尼龙 

分 类 号：R734.2[医药卫生—肿瘤]