Schellongowski P, Staudinger T
Intensivstation 13i2, Universitätsklinik für Innere Medizin I, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Med Klin Intensivmed Notfmed. 2012 Jun;107(5):386-90. doi: 10.1007/s00063-012-0121-2. Epub 2012 Jun 13.
The life expectancy and prevalence of malignant diseases is continuously on the rise, which inevitably leads to an increase of critically ill cancer patients. This article explains why the prognosis of cancer patients in the intensive care unit has markedly improved over the last decades, what the reasons for admission are and which risk factors affect mortality. Furthermore, the importance of correct patient selection and other specific topics will be discussed. Accordingly, acute respiratory failure for example is the most common organ dysfunction in these patients and has specific prognostic, diagnostic and therapeutic characteristics. The successful management of cancer patients in the intensive care unit requires specific knowledge of the intensive care physician and an excellent cooperation with the treating hematologist and oncologist.
恶性疾病的预期寿命和患病率持续上升，这不可避免地导致重症癌症患者数量增加。本文解释了为何在过去几十年里，重症监护病房中癌症患者的预后有了显著改善，患者入院的原因是什么，以及哪些风险因素会影响死亡率。此外，还将讨论正确选择患者的重要性以及其他特定主题。例如，急性呼吸衰竭是这些患者中最常见的器官功能障碍，具有特定的预后、诊断和治疗特征。在重症监护病房成功管理癌症患者需要重症监护医生具备专业知识，并与治疗血液科医生和肿瘤内科医生密切合作。
