McIntosh S
Yale J Biol Med. 1984 Mar-Apr;57(2):199-242.
Admission of a patient to an intensive care unit for management of direct consequences of a hematologic or oncologic disease is occasionally necessary. Such problems included exchange transfusion, sepsis, compression of vital structures by malignant tumor, metabolic derangements, leukostasis, post-operative care, major sickling episodes in vital organs, and disseminated coagulopathy. More often, however, hematologic complications arise in the child critically ill from other causes, such as trauma or infections. The first two sections of this review address blood transfusion and hemostasis, topics likely to have wide application in the care of critically ill children. The last portion discusses problems unique to patients with sickling or malignant disease.
有时需要将患者收入重症监护病房，以处理血液学或肿瘤性疾病的直接后果。这些问题包括换血疗法、败血症、恶性肿瘤对重要结构的压迫、代谢紊乱、白细胞淤滞、术后护理、重要器官的严重镰状细胞危象以及弥散性凝血障碍。然而，血液学并发症更常出现在因其他原因（如创伤或感染）而患重病的儿童中。本综述的前两部分论述输血和止血，这些主题可能在重症儿童护理中有广泛应用。最后一部分讨论镰状细胞病或恶性疾病患者特有的问题。
