免疫疗法并发症:免疫检查点抑制剂 免疫检查点抑制剂
Alexa S Meara1, Jaclyn P Zois2, Jason J Bischof2
1Division of Medical Oncology, Department of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
免疫检查点抑制剂 (ICI) 越来越多地用于癌症治疗,但可能导致各种免疫相关不良事件 (irAEs). 本指南有助于急诊医生评估和管理这些具有挑战性的器官系统的副作用.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 紧急医疗 紧急医疗
背景情况:
- 使用免疫检查点抑制剂 (ICI) 的癌症免疫疗法正在扩大.
- 与免疫相关的不良事件 (irAEs) 频繁多样,影响多个器官系统.
- 在急性护理环境中,irAEs的多样化呈现挑战了急诊医生.
研究的目的:
- 为提供与免疫检查点抑制剂 (ICI) 治疗相关的免疫相关不良事件 (irAEs) 的全面概述.
- 概述IRE的评估和管理策略.
- 协助急诊医生在急症护理环境中识别和管理irAEs.
主要方法:
- 系统审查有关免疫相关不良事件的文献.
- 对irAE呈现和管理的器官系统特定分析.
- 为急诊室评估和治疗制定指导方针.
主要成果:
- irAEs在所有主要器官系统中表现出不同的临床表现.
- 早期识别和适当的治疗对于有利的患者结果至关重要.
- 针对irrAEs的差异诊断需要考虑与免疫无关的疾病.
结论:
- 对于紧急医生来说,对irAE评估和管理有一个结构化的方法是必不可少的.
- 了解irAEs的频谱可以改善急性环境中的患者护理.
- 多学科的协作加强了复杂的irAE案件的管理.
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