Mieczkowski Mariusz, Matuszkiewicz-Rowińska Joanna, Kościelska Małgorzata
Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa.
Wiad Lek. 2015;68(4 Pt 2):664-7.
Tumor lysis syndrome (TLS) is a serious adverse event observed in patients treated for hematologic malignancies and solid tumors, particularly those with a high proliferative rate. An abrupt and massive tumor cell lysis with release their contents into the circulation leads to a rapid development of hyperuricemia, hyperkalemia, hyperphosphatemia, followed by hypocalcemia. If not managed appropriately, these metabolic disturbances may result in acute kidney injury and in life-threatening cardiac complications and even death. This short review summarizes current strategies for diagnosis, risk assessment, prophylaxis, and therapy.
肿瘤溶解综合征(TLS)是在血液系统恶性肿瘤和实体瘤患者,尤其是增殖率高的患者接受治疗时观察到的一种严重不良事件。肿瘤细胞突然大量溶解并将其内容物释放到循环中会导致高尿酸血症、高钾血症、高磷血症迅速发展,随后出现低钙血症。如果处理不当,这些代谢紊乱可能导致急性肾损伤以及危及生命的心脏并发症,甚至死亡。本简短综述总结了目前诊断、风险评估、预防和治疗的策略。