Winterhalder R C, Müller B
Medizinische Onkologie, Luzerner Kantonsspital, Luzern.
Praxis (Bern 1994). 2008 Apr 30;97(9):507-11. doi: 10.1024/1661-8157.97.9.507.
The knowledge of most oncologic emergencies is crucial in daily practice. Treatment options for the superior vena cava syndrome include chemotherapy, radiation, and intravenous stenting. Hypercalcemia due to malignancy is treated with aggressive rehydration and intravenous bisphosphonates. Febrile neutropenia is a hematologic emergency that usually requires inpatient therapy with broad-spectrum antibiotics. Epidural spinal cord compression must be recognized early and can be treated with dexamethason, radiation, or surgery.
了解大多数肿瘤急症在日常临床实践中至关重要。上腔静脉综合征的治疗选择包括化疗、放疗和静脉内支架置入术。恶性肿瘤所致高钙血症采用积极补液和静脉注射双膦酸盐进行治疗。发热性中性粒细胞减少是一种血液学急症,通常需要住院用广谱抗生素治疗。硬膜外脊髓压迫必须早期识别,可采用地塞米松、放疗或手术治疗。