缘起性空 发表于 2014-5-15 16:20+ e. z8 T0 I. l6 |9 P
C反应蛋白是炎症反应的一种非特异性蛋白标记物,但在减瘤性肾切除术后升高,通常是预后不良标志,对一组局 ...
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癌晚期往往伴随的炎症,很多医生对晚期患者C反应蛋白居高不下视而不见,他们认为这是肿瘤进展,C反应蛋白高与不高没有任何关系,所以很少有医生主动为晚期病人抗感染治疗,他们的建议一般就是“肿瘤进展,必须化疗..........或采取其他治疗”。" c$ q+ L0 `1 \4 {4 C
相对感染来说,癌可以成是一种慢性病,不做任何治疗,生存期至少有几个月,甚至半年、一年,可是一旦严重感染,这个生存期要短很多。 , U L. q5 g' a同样,肿瘤和感染会相互促进的,肿瘤进展伴随着感染,感染同时也会影响靶向药有效性,但是,感染可以通过强力的抗生素治愈,可是肿瘤不能。6 {7 A4 S" n: O. z% b8 W s* }! a
这种情况下,对我们最有利的做法就是首先要抗感染治疗,其次是用上有效的靶向药。
本帖最后由 荷花池荒岛 于 2014-5-16 13:31 编辑 , h1 _2 y& K1 T r, C+ G
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1) $ Z+ S' P n6 |http://www.webmd.com/a-to-z-guides/c-reactive-protein-crp / e% U u0 D v% I。。。。。。! C7 Q0 o; B( F3 |, G* k
A C-reactive protein (CRP) test is a blood test that measures the amount of a protein called C-reactive protein in your blood. C-reactive protein measures general levels of inflammation in your body.1 K) n3 n% Y( `0 m
; `5 O: z' h+ X6 s9 KHigh levels of CRP are caused by infections and many long-term diseases. But a CRP test cannot show where the inflammation is located or what is causing it. Other tests are needed to find the cause and location of the inflammation. $ A0 k* b2 k+ g C3 R5 K9 b k 7 f% J4 c, o" E7 tWhy It Is Done- C/ l" x+ [" y; |9 C
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A C-reactive protein (CRP) test is done to: 4 ~/ |# l+ _0 I8 B1 m
Check for infection after surgery. CRP levels normally rise within 2 to 6 hours of surgery and then go down by the third day after surgery. If CRP levels stay elevated 3 days after surgery, an infection may be present.
Identify and keep track of infections and diseases that cause inflammation, such as: : E% i7 x; i3 L9 S5 JCancer of the lymph nodes (lymphoma). 6 ]4 S. g& U1 TDiseases of the immune system, such as lupus., p$ I' H# E& e7 ~9 w0 c$ M
Painful swelling of the blood vessels in the head and neck (giant cell arteritis). ) h* e* Q3 D/ I+ X4 k1 EPainful swelling of the tissues that line the joints (rheumatoid arthritis). 7 z" a, m3 ]. Q2 tSwelling and bleeding of the intestines (inflammatory bowel disease).5 \7 L; Z: Y4 |& ~& X, V- s
Infection of a bone (osteomyelitis).. F6 o0 c: N, f% ]+ I