Moreau Anne-Sophie, Peyrony Olivier, Lemiale Virginie, Zafrani Lara, Azoulay Elie
Centre de réanimation, Hôpital Salengro, CHU-Lille, Lille F-59000, France.
Medical Intensive Care Unit, Hôpital Saint-Louis, Paris, France.
Clin Chest Med. 2017 Jun;38(2):355-362. doi: 10.1016/j.ccm.2017.02.001.
Acute respiratory failure occurs in up to 50% of patients treated for hematologic malignancies and is associated with a high case fatality rate. Because of residual organ dysfunction and time spent receiving respiratory care, underlying disease control is affected. Early admission to an intensive care unit for acute respiratory failure has proven benefit because it is the best place for rapid implementation of noninvasive diagnostic and therapeutic strategies. This article reviews the clinical approach and diagnostic strategies for acute respiratory failure in patients with hematologic malignancies.
高达50%接受血液系统恶性肿瘤治疗的患者会发生急性呼吸衰竭,且病死率很高。由于存在残留器官功能障碍以及接受呼吸护理所花费的时间,基础疾病的控制受到影响。因重症监护病房是快速实施无创诊断和治疗策略的最佳场所,所以早期收治急性呼吸衰竭患者已被证明有益。本文综述了血液系统恶性肿瘤患者急性呼吸衰竭的临床处理方法和诊断策略。