Porter Michael
Department of Emergency Medicine, Norman Regional Hospital, Norman, OK, USA.
Emerg Med Clin North Am. 2018 Aug;36(3):567-576. doi: 10.1016/j.emc.2018.04.002.
Emergency providers are likely to encounter sickle cell disease-related emergencies. The pathophysiology of emergent complaints are usually related to either an acute anemia or a vasoocclusive crisis. Differentiating between the two is the first step in the workup. Anemic crises must then be differentiated by the source. Vasoocclusive crises must be appropriately treated with aggressive pain management, gentle hydration, and other appropriate adjuncts. Early recognition and treatment are key in providing excellent emergency care to those with sickle cell disease.
急救人员很可能会遇到与镰状细胞病相关的紧急情况。紧急症状的病理生理学通常与急性贫血或血管阻塞性危象有关。区分这两者是检查的第一步。然后必须根据病因区分贫血危象。血管阻塞性危象必须通过积极的疼痛管理、适度补液及其他适当辅助措施进行妥善治疗。早期识别和治疗是为镰状细胞病患者提供优质急救护理的关键。