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危重症儿科肿瘤患者:重症监护医生需要了解什么?《儿科危重症医学》

Critically Ill Pediatric Oncology Patients: What the Intensivist Needs to Know? Pediatric Critical Care Medicine.

作者信息

Al Haj Moussa Amin, Maaz Ata Ur Rehman, Faqih Nesreen, Sundaram Manu

机构信息

Department of PICU, Sidra Medicine, Doha, Qatar.

Department of Hematology and Oncology, Sidra Medicine, Doha, Qatar.

出版信息

Indian J Crit Care Med. 2020 Dec;24(12):1256-1263. doi: 10.5005/jp-journals-10071-23693.

Abstract

Cancer is an evolving cause of morbidity and mortality in children worldwide. In recent decades, there has been a significant increase in the survival of children with cancer, after applying new methods and treatment protocols in practice. However, the complexity of the disease itself, as well as the intensity and toxicity of treatment is such that many children require admission to the pediatric intensive care unit (PICU) which should be well equipped and led by personnel who have adequate training and expertise to provide optimum care to these complex patients. Most oncology patients who require PICU admission categorized into oncological emergencies, and/or decompensation from treatment and its side effects. In this study, we provide a summary of the essential and most recent evidence-based recommendations from published reviews and articles to aid PICU physicians and to ensure the best treatment and outcome possible for the children with such disease. Al Haj Moussa A, Maaz AUR, Faqih N, Sundaram M. Critically Ill Pediatric Oncology Patients: What the Intensivist Needs to Know? Pediatric Critical Care Medicine. Indian J Crit Care Med 2020;24(12):1256-1263.

摘要

癌症是全球儿童发病和死亡的一个不断演变的原因。近几十年来,在实际应用新方法和治疗方案后,患癌儿童的生存率有了显著提高。然而,疾病本身的复杂性以及治疗的强度和毒性使得许多儿童需要入住儿科重症监护病房(PICU),该病房应配备完善,并由经过充分培训且具备专业知识的人员领导,以便为这些复杂的患者提供最佳护理。大多数需要入住PICU的肿瘤患者可分为肿瘤急症,和/或治疗及其副作用导致的失代偿。在本研究中,我们总结了已发表的综述和文章中基于证据的重要且最新的建议,以帮助PICU医生,并确保为患有此类疾病的儿童提供最佳治疗和可能的结果。Al Haj Moussa A, Maaz AUR, Faqih N, Sundaram M. 危重症儿科肿瘤患者:重症监护医生需要了解什么?儿科重症医学。《印度危重症医学杂志》2020年;24(12):1256 - 1263。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e8c/7775926/887d7b88188b/ijccm-24-1256-g001.jpg

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