对高白细胞和白细胞静止的方法 - - 住院患者的管理策略
Maun R Baral1, Sambhawana Bhandari2
1Division of Hospital Medicine, Department of Medicine, Washington University in Saint Louis, St. Louis, Missouri, USA.
超白细胞症,白血病中的高白细胞计数,可以导致危险的白血静止症. 及时诊断和支持性护理对于管理这种关键状况至关重要.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 内部医学 内部医学
背景情况:
- 超白细胞症,定义为白细胞数超过10万/μL,是急性和慢性白血病的严重并发症.
- 它可以导致危及生命的疾病,包括白血静止症,扩散性血管内凝血和瘤溶解综合征.
- 白血病,由微血管的白血病爆发性阻塞引起,导致多系统性症状.
研究的目的:
- 审查超白细胞症的定义,并发症和治疗方法.
- 为突出临床诊断和新出现的干预措施,为leukostasis.
- 讨论当前的支持性和细胞还原性疗法以及白血的有争议的作用.
主要方法:
- 关于超白细胞症及其并发症的文献综述.
- 对白血的临床诊断标准的分析.
- 治疗策略的总结,包括支持性护理,细胞减小剂和白血病.
主要成果:
- 超白细胞瘤需要立即识别和干预,因为白细胞静止和其他严重并发症的风险.
- 白血静止症是一种需要及时管理的临床诊断.
- 支持性护理包括补水,尿酸减少和谨慎的输血;氨酸urea和cytarabine用于细胞减少.
结论:
- 超白细胞症是白血病的一个关键表现,需要紧急管理,以防止严重的并发症,如白血停滞.
- 白血静止症是一种临床紧急情况,用支持性护理和细胞减小剂进行管理.
- 在超白细胞瘤治疗中,白血的实用性仍在争论中,临床实践各不相同.
更多相关视频
11:40Bioenergetics and the Oxidative Burst: Protocols for the Isolation and Evaluation of Human Leukocytes and Platelets
Published on: March 27, 2014
09:01Flow Cytometry to Estimate Leukemia Stem Cells in Primary Acute Myeloid Leukemia and in Patient-derived-xenografts, at Diagnosis and Follow Up
Published on: March 26, 2018
相关概念视频
Disorders of Leukocytes
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Acute Pyelonephritis II: Diagnostic Studies and Management
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Nephrotic Syndrome III : Nursing Management
Acute Kidney Injury VI: Nursing Management
