Strauss Penelope Z, Hamlin Shannan K, Dang Johnny
Independent Consultant, 6122 Queensloch Drive, Houston, TX 77096, USA.
Center for Professional Excellence, Institute for Academic Medicine, Houston Methodist Hospital, 6565 Fannin, MGJ 11-017, Houston, TX 77030, USA.
Nurs Clin North Am. 2017 Jun;52(2):309-320. doi: 10.1016/j.cnur.2017.01.008. Epub 2017 Apr 7.
Tumor lysis syndrome (TLS) is a life-threatening disorder that is an oncologic emergency. Risk factors for TLS are well-known, but the current literature shows case descriptions of unexpected acute TLS. Solid tumors and untreated hematologic tumors can lyse under various circumstances in children and adults. International guidelines and recommendations, including the early involvement of the critical care team, have been put forward to help clinicians properly manage the syndrome. Advanced practice nurses may be in the position of triaging and initiating treatment of patients with TLS, and need a thorough understanding of the syndrome and its treatment.
肿瘤溶解综合征(TLS)是一种危及生命的疾病,属于肿瘤急症。TLS的危险因素广为人知,但当前文献中有意外急性TLS的病例描述。实体瘤和未经治疗的血液系统肿瘤在儿童和成人的各种情况下都可能溶解。已经提出了国际指南和建议,包括重症监护团队的早期介入,以帮助临床医生妥善管理该综合征。高级执业护士可能负责对TLS患者进行分诊和启动治疗,需要全面了解该综合征及其治疗方法。