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内科住院医师血液学 - 肿瘤学急症综述

Review of Hematology-Oncology Emergencies for Internal Medicine Residents.

作者信息

Baralo Bohdan, Ramesh Nithya, Deshpande Sohiel, Buragamadagu Bhanusowymya C, Khanam Aliza, Paravathaneni Mahati, Mulla Sana, Bedi Verushka, Thota Vihitha, Baralo Raisa, Jain Akhil, Choi Eugene, Thirumaran Rajesh

机构信息

Internal Medicine, Mercy Catholic Medical Center, Darby, USA.

Clinical Pharmacy and Clinical Pharmacology, National Prigov Memorial Medical University, Vinnytsia, UKR.

出版信息

Cureus. 2023 Jan 9;15(1):e33563. doi: 10.7759/cureus.33563. eCollection 2023 Jan.

Abstract

The prevalence of cancer continues to grow globally every year. With therapeutic advances over the recent decades, the prevalence of individuals living with cancer continues to increase. Internal medicine residents can see patients admitted to the hospital for cancer-related emergencies. Early identification and appropriate management of these emergencies have been shown to improve mortality and morbidity. In this article, we aim to review the recent updates in the management of commonly encountered oncologic emergencies in the practice of internal medicine residents. This review will cover spinal cord compression, superior vena cava syndrome, tumor lysis syndrome, hypercalcemia, pericardial tamponade, hypoglycemia, hyponatremia, bowel obstruction, increased intracranial pressure, leukostasis, hyperviscosity syndrome, neutropenic fever, and hypersensitivity reactions.

摘要

全球癌症患病率每年都在持续上升。随着近几十年来治疗技术的进步,癌症患者的患病率持续增加。内科住院医师会诊治因癌症相关急症入院的患者。已证实对这些急症进行早期识别和适当处理可改善死亡率和发病率。在本文中,我们旨在回顾内科住院医师在实践中常见肿瘤急症管理的最新进展。本综述将涵盖脊髓压迫、上腔静脉综合征、肿瘤溶解综合征、高钙血症、心包填塞、低血糖、低钠血症、肠梗阻、颅内压升高、白细胞淤滞、高黏滞综合征、中性粒细胞减少性发热和过敏反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a83f/9908426/a79f3bfec6dc/cureus-0015-00000033563-i01.jpg

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