Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada; Sinai Health System and University Health Network, Toronto, ON, Canada.
Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada; Sinai Health System and University Health Network, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Chest. 2022 May;161(5):1285-1296. doi: 10.1016/j.chest.2021.12.650. Epub 2022 Jan 7.
Hematologic conditions (malignant or benign) may progress to acute critical illness requiring prompt recognition and intensive management. This review outlines diagnostic considerations and approaches to management for intensivists of common benign hematologic emergencies, including the following: thrombotic thrombocytopenic purpura, atypical hemolytic uremic syndrome, disseminated intravascular coagulopathy, catastrophic antiphospholipid antibody syndrome, hemophagocytic lymphohistiocytosis, acute chest syndrome associated with sickle cell disease, and hyperhemolysis syndrome.
血液学疾病(恶性或良性)可能进展为急性危重症,需要及时识别和强化管理。本综述概述了常见良性血液学急症的诊断注意事项和处理方法,包括以下内容:血栓性血小板减少性紫癜、非典型溶血尿毒综合征、弥漫性血管内凝血、灾难性抗磷脂抗体综合征、噬血细胞性淋巴组织细胞增多症、镰状细胞病相关急性胸痛综合征和高溶血性综合征。