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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”。$ b; D1 a4 C, q5 n t! P9 x+ S! y/ {
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. @" ^$ y. ^) v1 Y/ ]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。" A% X$ N$ R' _9 Q$ n
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 ; K) h3 l" j- _7 a9 V: K
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1) ) S0 @& c4 E3 ^' c& k' s http://www.webmd.com/a-to-z-guides/c-reactive-protein-crp $ Z. |* Y6 O) Q6 o* C; e: R。。。。。。/ ], Z1 G5 r& h: X3 l, z! F2 q/ V
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.+ w: {; I" N. j! M- d0 r
$ B& c; ?3 z1 T- k( ~& g! rHigh 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.3 e8 R. @% _, Q. k9 G2 j
S4 [ R; V c, |6 [* p3 V7 oWhy It Is Done 1 G/ t/ h0 T' p; q& G" Z9 }( S # H0 N2 r. ~* K6 C7 i0 dA C-reactive protein (CRP) test is done to: b; l1 P B# A L) n
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:8 T+ ~( E+ [ c$ A. g6 ]
Cancer of the lymph nodes (lymphoma). - b- X T& ~; d9 D2 c' rDiseases of the immune system, such as lupus. ( s& o! N: m/ g# { o1 T5 zPainful swelling of the blood vessels in the head and neck (giant cell arteritis).; @" _( z: i1 R7 c( ^" `
Painful swelling of the tissues that line the joints (rheumatoid arthritis).6 n3 G- z) {; c. ?
Swelling and bleeding of the intestines (inflammatory bowel disease).. R" \% a1 I D: m$ p% A
Infection of a bone (osteomyelitis). $ T& u- Q" K8 ~
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C-反应蛋白(CRP )检测是一种血液检测,用来测量你的血液中一种被称为C -反应蛋白的蛋白质的数量。C-反应蛋白测量你的身体内部炎症的总体水平。; s& k) o' _- F' k. G( ?3 x
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高水平的C-反应蛋白是由感染和许多长期的疾病引起的。但C-反应蛋白检测既不能显示出炎症所在位置也不能确定是什么原因造成的。还需要其它的检测来找出炎症的原因和炎症的位置。- B: A- M$ c1 R