在重症监护室需要紧急化疗的血液病患者的管理
Antoine Lafarge1, Dara Chean2, Livia Whiting2
1Médecine Intensive et Réanimation, APHP, Saint-Louis Hospital and Paris University, Paris, France. antoine.lafarge@aphp.fr.
Intensive care medicine
|May 15, 2024
概括
紧急化疗对于具有快速进展或危及生命的并发症的血液恶性瘤至关重要. 本综述指导重症监护医生和血液学家在管理需要在重症监护病房 (ICU) 紧急治疗的患者.
科学领域:
- 瘤血液学 瘤血液学
- 密集护理医学 密集护理医学
背景情况:
- 血液性恶性瘤往往需要快速治疗,因为它们的侵袭性扩散.
- 这些癌症的某些并发症需要紧急化疗.
- 监测和管理可能需要进入重症监护室 (ICU).
研究的目的:
- 确定和概述需要在ICU紧急化疗的患者的管理策略.
- 为初始患者护理提供诊断工具和指导.
主要方法:
- 对需要化疗的瘤血液学紧急情况的审查.
- 分析需要接受ICU和紧急治疗的并发症.
- 强调重症治疗师和血液学家之间的跨学科合作.
主要成果:
- 紧急化疗在ICU的常见指示包括高白细胞症,白细胞静止症,瘤溶解综合征和扩散性血管内凝血.
- 紧急化疗也适用于二次血细胞性淋巴细胞瘤.
- 不太频繁但关键的征兆包括瘤诱导的微血管病性血清性贫血和血高粘度.
结论:
- 在ICU中对瘤血液学紧急情况的有效管理依赖于及时识别和治疗.
- 重症监护和血液学团队之间的密切合作是必不可少的.
- 本综述为优化对这些重症患者的护理提供了见解.
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