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癌症患者泌尿生殖系统急症的评估与管理

Evaluation and Management of Genitourinary Emergencies in Patients with Cancer.

作者信息

Lipe Demis N, Mann Phillip B, Babakhanlou Rodrick, Cruz Carreras Maria T, Guido Hita A, Wattana Monica K

机构信息

Department of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Division of Urology, Department of Surgery, University of Texas at Houston, McGovern Medical School, Houston, TX, USA.

出版信息

Emerg Med Int. 2021 Jul 27;2021:4511968. doi: 10.1155/2021/4511968. eCollection 2021.

Abstract

BACKGROUND

Genitourinary emergencies in cancer patients are common. Most cancer treatments are administered in the outpatient setting, and patients with complications often visit the emergency department. However, there is no recent emergency medicine literature review focusing on genitourinary emergencies in the oncologic population. . To increase awareness of common genitourinary emergencies in patients with cancer and enable the prompt recognition and appropriate management of these conditions. . Genitourinary emergencies in patients with cancer require a multidisciplinary approach to treatment. The most common genitourinary emergencies in patients with cancer are related to infection, obstructive uropathy, hemorrhagic cystitis, and complications associated with urinary diversions. The treatment approach in patients with infections, including viral infections, is similar to those without cancer. Understanding the changes in the anatomy of patients with urinary diversions or fistulas can help with the management of genitourinary emergencies.

CONCLUSIONS

Familiarization with the uniqueness of genitourinary emergencies in patients with cancer is important for emergency physicians.

摘要

背景

癌症患者的泌尿生殖系统急症很常见。大多数癌症治疗在门诊进行,有并发症的患者常前往急诊科就诊。然而,近期尚无专注于肿瘤患者泌尿生殖系统急症的急诊医学文献综述。……为提高对癌症患者常见泌尿生殖系统急症的认识,并能及时识别和妥善处理这些情况。……癌症患者的泌尿生殖系统急症需要多学科治疗方法。癌症患者最常见的泌尿生殖系统急症与感染、梗阻性尿路病、出血性膀胱炎以及尿流改道相关并发症有关。包括病毒感染在内的感染患者的治疗方法与非癌症患者相似。了解尿流改道或瘘管患者解剖结构的变化有助于处理泌尿生殖系统急症。

结论

熟悉癌症患者泌尿生殖系统急症的独特性对急诊医生很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a2/8337163/3caf1a944cac/EMI2021-4511968.001.jpg

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