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在急性淋巴细胞白血病的儿科患者的密集化疗期间观察到的急性并发症:单中心经验
Ulku Miray Yildirim1, Funda Tekkesin1, Begum Sirin Koc1
1Department of Pediatric Hematology-Oncology, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye.
在儿童急性淋巴细胞白血病 (ALL) 治疗期间经常出现急性并发症,感染是最常见的. 早期住院治疗和多学科方法对于儿童ALL患者的更好的治疗结果至关重要.
科学领域:
- 儿科瘤学 儿科瘤学
- 血液学 血液学 血液学
- 临床研究 临床研究
背景情况:
- 儿童急性淋巴细胞白血病 (ALL) 治疗已取得进展,但急性并发症仍然是死亡率和发病率的重要原因.
- 了解这些并发症的频谱和频率对于改善患者护理和治疗结果至关重要.
研究的目的:
- 评估儿童ALL治疗期间急性并发症的类型和发生率.
- 确定最常见的并发症,并为临床管理策略提供信息.
主要方法:
- 从47名被诊断患有ALL的儿科患者的医疗记录进行了回顾性分析.
- 在2016年至2021年期间,患者根据ALL洲际柏林-法兰克福-斯特 (BFM) 2009年协议接受治疗.
主要成果:
- 在47名患者中,80.8%的患者出现了急性并发症.
- 感染性并发症是最常见的 (80.8%),其次是胃肠道问题,药物反应和血栓,神经或内分泌/代谢并发症.
- 大多数患者 (93.6%) 患有B细胞前ALL,并被归类为中等或高风险 (80.9%).
结论:
- 在接受治疗的儿科ALL患者中,需要高度的并发症怀疑指数.
- 在设备齐全的中心提供多学科护理,并强调早期住院治疗策略,以应对急性并发症.
- 积极主动管理对于减轻急性并发症对治疗结果的影响至关重要.
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