CAJ | 학술논문

目的：观察白血病化疗后并发卡氏肺孢子菌肺炎（PCP）的临床表现并总结其护理经验。方法回顾性分析我科2010年7月～2013年7月收治的7例白血病并发PCP患者的临床资料，总结其临床表现、治疗经过和护理要点。结果4例白血病合并PCP的患者经积极治疗和护理后好转，继续接受化疗，其中3例目前仍在化疗中，1例初次治疗后好转，在之后的两次化疗中均再次感染PCP，最终死于呼吸衰竭。3例感染控制后出院，未再行化疗，目前在康复中。结论白血病患者化疗后并发PCP时，主要表现为胸闷、干咳、不同程度的发热及进行性呼吸困难，X线和CT检查具有一定的辅助诊断意义。护理时应密切观察患者的各项生命体征、药物不良反应和口腔黏膜的变化，做好保护性隔离，预防交叉感染，并进行针对性心理干预以缓解患者症状。
목적：관찰백혈병화료후병발잡씨폐포자균폐염（PCP）적림상표현병총결기호리경험。방법회고성분석아과2010년7월～2013년7월수치적7례백혈병병발PCP환자적림상자료，총결기림상표현、치료경과화호리요점。결과4례백혈병합병PCP적환자경적겁치료화호리후호전，계속접수화료，기중3례목전잉재화료중，1례초차치료후호전，재지후적량차화료중균재차감염PCP，최종사우호흡쇠갈。3례감염공제후출원，미재행화료，목전재강복중。결론백혈병환자화료후병발PCP시，주요표현위흉민、간해、불동정도적발열급진행성호흡곤난，X선화CT검사구유일정적보조진단의의。호리시응밀절관찰환자적각항생명체정、약물불량반응화구강점막적변화，주호보호성격리，예방교차감염，병진행침대성심리간예이완해환자증상。
Objective To observe the clinical manifestations of cartesian pneumocystis pneumonia (PCP) of leukemia pa-tients after chemotherapy and summarize the nursing experience. Methods The clinical data of 7 cases of leukemia patients with concurrent PCP in our department between July 2010 and July 2013 were retrospectively analyzed, and their clinical manifesta-tion, treatment and nursing key points were summarized here. Results After active treatment and nursing, four leukemia patients with PCP turned better and continued chemotherapy, of which three continued chemotherapy till now, but one got PCP infection again in later two courses of chemotherapy and finally died of respiratory failure. Three cases of infection were controlled and left hospital with no chemotherapy, and now in the rehabilitation. Conclusion Leukemia patients with concurrent PCP after chemotherapy had the main manifestations like chest tightness, dry cough, different degrees of fever and progressive difficulty in breathing. Auxiliary diagnosis of X-ray and CT examination had certain significance. Nursing care should include close obser-vation on the patient’s vital signs, adverse drug reactions and change of oral mucosa, as well as protective isolation, prevention of cross infection, and targeted psychological intervention to relieve symptoms.