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肝细胞癌综合多疗程治疗后发生脓毒症:一例报告及文献复习

sepsis after comprehensive multicourse treatment of hepatocellular carcinoma: A case report and review.

作者信息

Zhang Yujuan, Zhu Yu, Han Yaping, Yang Liyan, Wang Jingzhi, Cui Wei

机构信息

Department of Clinical Laboratory, State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Department of Clinical Laboratory, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

Heliyon. 2024 Jun 18;10(12):e33279. doi: 10.1016/j.heliyon.2024.e33279. eCollection 2024 Jun 30.

Abstract

INTRODUCTION

sepsis is a rare but serious clinical syndrome that is typically triggered by gastrointestinal disorders. We present a case of bloodstream infection caused by in a liver cancer patient after comprehensive multicourse treatment.

CASE PRESENTATIONS

The patient, a 68-year-old male, experienced nausea, decreased appetite, and abdominal distension on the 15th day after receiving comprehensive multicourse treatment and transcatheter arterial chemoembolization (TACE). During admission, he developed fever, and blood culture results confirmed the presence of . The patient was discharged with improved symptoms.

CONCLUSION

Our findings underscore the rarity of sepsis. For liver cancer patients, particularly those who have undergone TACE or radiofrequency ablation and who experience post treatment fever, vigilance for bloodstream infection is crucial. Timely diagnostic assessments and proactive treatment can significantly enhance the survival prospects of these patients.

摘要

引言

脓毒症是一种罕见但严重的临床综合征,通常由胃肠道疾病引发。我们报告一例肝癌患者在多疗程综合治疗后发生的由[具体病菌未给出]引起的血流感染病例。

病例介绍

该患者为68岁男性,在接受多疗程综合治疗及经动脉化疗栓塞术(TACE)后第15天出现恶心、食欲减退和腹胀。入院期间,他出现发热,血培养结果证实存在[具体病菌未给出]。患者症状改善后出院。

结论

我们的研究结果强调了[具体病菌未给出]脓毒症的罕见性。对于肝癌患者,尤其是那些接受过TACE或射频消融术且术后发热的患者,警惕[具体病菌未给出]血流感染至关重要。及时的诊断评估和积极治疗可显著提高这些患者的生存前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ea/11253527/c0e01e9fd1fc/gr1.jpg

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