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已知某些细胞毒制剂可致轻度发热反应,但少有危及生命的高热。本文报道2例由常用的细胞毒类药物所引起的高热反应,1例为恶性淋巴瘸肌肉注射博莱霉素5mg 后2小时,体温升高达42.5℃,伴有休克昏迷。经各种积极治疗无效,于24小时后死于弥漫性毛细血管内凝血。例2为急性粒细胞白血病静脉注射柔毛霉素70mg 后2小时,高热达42℃,血压下降、昏迷。经积极治疗2小时后体温降到正常,神志恢复。
Some cytotoxic agents are known to cause a mild fever response, but few have life-threatening fever. This article reports 2 cases of commonly used cytotoxic drugs caused by hyperthermia, 1 case of malignant lymphatic lameness injection bleomycin 5mg 2 hours after 2 hours, body temperature increased up to 42.5 ℃, accompanied by shock coma. After a variety of active treatment is invalid, after 24 hours died of diffuse capillary coagulation. Example 2 Acute myeloid leukemia 2 hours after intravenous injection of daunorubicin 70mg, high fever of 42 ℃, blood pressure drops, coma. The body temperature dropped to normal after 2 hours of active treatment, consciousness recovery.