Blackburn Lisa M, Brown Shelly, Munyon Aimee, Orovets Michelle
Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute.
Clin J Oncol Nurs. 2017 Dec 1;21(6):E267-E271. doi: 10.1188/17.CJON.E267-E271.
Hyperleukocytosis, a peripheral white blood cell count greater than 100,000/mm3,is most commonly seen in patients with newly diagnosed or relapsed acute lymphoblastic leukemia and acute myeloid leukemia. Leukostasis is a reduction in blood flow related to hyperviscosity. Hyperleukocytosis, causing leukostasis, is an oncologic emergency and requires an exacting assessment and rapid response with appropriate intervention to prevent morbidity and mortality in the first week after diagnosis.
The objectives of this article are to equip oncology nurse to identify patients with hyperleukocytosis and to provide nursing interventions that will ensure safe, quality care.
METHODS: A case study is used to demonstrate key concepts that are critical in early assessment, identification, and treatment of patients with leukostasis. .
Oncology nurses well versed in the pathophysiology, clinical presentation, and management of leukostasis can make a significant contribution to the safe management of patients with cancer.
白细胞增多症是指外周血白细胞计数大于100,000/mm³，最常见于新诊断或复发的急性淋巴细胞白血病和急性髓细胞白血病患者。白细胞淤滞是指与血液高黏滞度相关的血流减少。导致白细胞淤滞的白细胞增多症是一种肿瘤急症，需要进行严格评估并迅速做出反应，采取适当干预措施以预防诊断后第一周内的发病和死亡。
本文的目的是使肿瘤护理人员能够识别白细胞增多症患者，并提供能确保安全、优质护理的护理干预措施。
采用案例研究来阐述在白细胞淤滞患者的早期评估、识别和治疗中至关重要的关键概念。
精通白细胞淤滞病理生理学、临床表现和管理的肿瘤护理人员可为癌症患者的安全管理做出重大贡献。
