ANZTCT实践陈述:鼻状阻塞综合征/静脉封闭性疾病诊断和管理
Shaun Fleming1, Ashleigh P Scott2, John Coutsouvelis3,4
1Clinical Haematology, Alfred Hospital and Australian Centre for Blood Diseases, Monash University, Melbourne, Victoria, Australia.
Internal medicine journal
|July 30, 2024
概括
鼻腔阻塞综合征/静脉闭塞性疾病 (SOS/VOD) 是干细胞移植后的一种严重并发症. 本综述为澳大利亚的诊断,预防和治疗提供了基于证据的建议.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 移植医学 移植医学
背景情况:
- 阴道阻塞综合征/静脉封闭性疾病 (SOS/VOD) 是血液造血干细胞移植 (HSCT) 和某些抗体-药物联合疗法后的严重并发症.
- 现有的SOS/VOD诊断和管理指南,如欧洲血液和骨髓移植协会的指南,提供了更精细的方法.
- 在澳大利亚和新西兰,SOS/VOD的临床实践和治疗机会存在差异.
研究的目的:
- 审查有关SOS/VOD的诊断,预防和治疗的现有证据.
- 为SOS/VOD管理提供建议,以适应当代澳大利亚HSCT实践.
- 解决该地区SOS/VOD临床实践和治疗机会的变化.
主要方法:
- 对SOS/VOD.目前证据的文献综述.
- 对诊断标准和治疗选择的分析.
- 综合发现,为澳大利亚制定临床建议.
主要成果:
- 目前的证据支持及时诊断和有效管理,包括治疗选择,以改善SOS/VOD.患者的治疗结果.
- 临床实践的变化和治疗方法的获取需要标准化的建议.
- 该审查综合了现有证据,以指导澳大利亚的HSCT实践.
结论:
- 标准化的诊断,预防和治疗策略对于在澳大利亚管理SOS/VOD至关重要.
- 实施基于证据的建议可以改善患者的治疗结果,并减少护理的变化.
- 本综述为优化澳大利亚背景下的SOS/VOD管理提供了一个框架.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Veins of Thorax
705
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
705
Open Angle Glaucoma: Treatment
420
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
420
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K
Angle Closure Glaucoma: Treatment
463
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
463


