Dybedal I, Lamvik J
Hematologisk seksjon, Medisinsk avdeling, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1990 Jan 20;110(2):213-6.
Through the last 18 months, five of our patients with acute leukaemia have developed septicaemia caused by Streptococcus viridans, followed by acute respiratory failure. Two patients had to be placed in a respirator. In patients with acute leukaemia treated with cytostatic drugs, close clinical observation, including repeated blood gas analysis, is very important if they develop septicaemia caused by Streptococcus viridans. Early administration of high doses of corticosteroids seems to be important in order to prevent serious respiratory failure.
在过去的18个月里,我们有5例急性白血病患者发生了由草绿色链球菌引起的败血症,随后出现急性呼吸衰竭。两名患者不得不使用呼吸机。对于接受细胞毒性药物治疗的急性白血病患者,如果发生了由草绿色链球菌引起的败血症,密切的临床观察,包括反复进行血气分析,非常重要。早期给予大剂量皮质类固醇似乎对于预防严重呼吸衰竭很重要。