癌症患者的化疗相关性肺膜炎:一个范围审查
Renee M Maina1, Caroline Rader2, Jeevan Kypa2
1Department of Surgery.
Annals of medicine and surgery (2012)
|May 2, 2024
概括
接受化疗的癌症患者的肺上腺瘤是一种严重的疾病,死亡率高. 在可能的情况下,可以选择非操作性管理,尽管结果仍然很差.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术重症监护手术重症监护
背景情况:
- 肺上皮质,腹腔空气,通常表明需要手术的穿孔粘膜.
- 癌症患者因化疗,放射和内镜手术等治疗而面临肺关节的独特风险.
- 有限的证据存在于管理化学疗法患者的肺皮瘤.
研究的目的:
- 进行范围审查,以综合有关化学治疗的癌症患者肺膜炎的表现,管理和结果的证据.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 包括1990年至2022年癌症患者肺皮瘤的病例,在6个月内接受化疗.
- 排除了因局部侵袭而在呈现或穿孔时诊断出癌症的病例.
主要成果:
- 确定了34例病例 (8例儿科病例,26例成人病例);化学疗法后呈现的中位时间为14天.
- 21名患者接受了手术,13名患者接受了非手术治疗.
- 手术组的三十天死亡率为33.3%,非手术组为23.1%.
结论:
- 癌症患者的肺上腺瘤具有高度病态性,死亡率约为30%,无论治疗方式如何.
- 建议在可行的情况下进行非手术治疗,尽管死亡率很高.
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