摘要
目的分析高龄恶性肿瘤患者临终前的临床特征。方法对52例高龄恶性肿瘤患者进行回顾性分析,分别从痰培养以及血浆纤维蛋白原(FIB)、D-二聚体、血浆白蛋白、血红蛋白方面进行对比分析。结果痰培养结果显示,革兰阴性菌占细菌总数的56.6%,革兰阳性菌占24.5%,真菌占18.8%。肿瘤组血浆FIB及D-二聚体水平明显高于对照组(均P<0.05),而血浆白蛋白及血红蛋白均明显低于对照组(均P<0.01)。结论高龄恶性肿瘤患者临终前具有明显的临床特征,了解它们对指导临床治疗及判断预后具有重要意义。
Objective To analyse the clinical features of elderly patients with malignant tumor before death. Method Fifty-two elderly patients with malignant tumor were retrospectively analyzed respectively from sputum culture and plasma FIB,D-dimer,albumin,hemoglobin aspects. Result Results of sputum cultures showed the percengtage of gram-negative bacteria was 56. 6% ,gram-positive bacteria was 24. 5% and fungus was 18. 8% . The level of plasma FIB and D-dimer in the tumor group significantly higher than those in the control ( P 0. 05) . The level of plasma albumin and hemoglobin in the tumor group were significantly lower than those in the control( P 0. 01) . Conclusion Elderly patients with malignant tumor has obvious clinical features before death. Understanding them has important significance for guidelines of clinical treatment and judgement of prognosis.
出处
《苏州大学学报(医学版)》
CAS
北大核心
2010年第5期1046-1048,共3页
Suzhou University Journal of Medical Science