Zierhut S, Reichle A
1Klinik und Poliklinik für Innere Medizin I, Universität Regensburg, 93042 Regensburg, Germany.
2Abteilung für Hämatologie und Onkologie, Universität Regensburg, 93042 Regensburg, Germany.
Intensivmed Notfallmed. 2007;44(5):286-302. doi: 10.1007/s00390-007-0783-9. Epub 2007 May 31.
Patients with leukemia are prone to critical illness at some time during their disease and their therapy that requires critical care. A number of these patients will have the opportunity to receive curative treatment and have an excellent probability of long-term remission if supported through a crisis. Complications that cause critical illness can be categorized as related to disease or those caused by therapy. The present review is focused on the description of the types of complications requiring intensive care, on specific aspects of the application of critical-care techniques, on organization of the intensive care unit in the context of leukemia and on ethical considerations.
白血病患者在其疾病及治疗过程中的某些时候容易发生需要重症监护的危重症。如果在危机期间得到支持,这些患者中有许多将有机会接受根治性治疗并有很高的长期缓解概率。导致危重症的并发症可分为与疾病相关的或由治疗引起的。本综述重点描述需要重症监护的并发症类型、重症监护技术应用的具体方面、白血病背景下重症监护病房的组织以及伦理考量。