Kochanek M, Böll B, Hallek M, von Bergwelt-Baildon M
Internistische Intensivstation, Klinik I für Innere Medizin, Universitätsklinikum Köln, Kerpener Str. 62, 50937 Köln, Deutschland.
Internist (Berl). 2013 Sep;54(9):1061-9. doi: 10.1007/s00108-013-3258-z.
The clinical management of neutropenic infections represents a great diagnostic and therapeutic challenge. Established sepsis criteria only partially reflect the neutropenic setting. Diagnostic procedures are frequently impaired by thrombocytopenia and progressive respiratory insufficiency. Increased tendency to bleed, engraftment, and fulminant progression represent major therapeutic challenges. Thus, crucial for the diagnosis and therapy of neutropenic sepsis are clear and well-communicated algorithms, rapid action, and close collaboration between oncologists and intensivists.
中性粒细胞减少症感染的临床管理是一项巨大的诊断和治疗挑战。既定的脓毒症标准仅部分反映中性粒细胞减少的情况。诊断程序常常因血小板减少症和进行性呼吸功能不全而受到影响。出血倾向增加、植入以及暴发性进展是主要的治疗挑战。因此,对于中性粒细胞减少性脓毒症的诊断和治疗而言,清晰且沟通良好的算法、迅速行动以及肿瘤学家与重症监护医生之间的密切合作至关重要。