Shivnan J, Shelton B K, Onners B K
AACN Clin Issues. 1996 Feb;7(1):95-108; quiz 179-80. doi: 10.1097/00044067-199602000-00008.
Bone marrow transplantation (BMT) is becoming a wide used therapeutic modality in the field of cancer care. Offering long-term disease-free survival in more than half of some patients with previously fatal diseases, this therapy has challenged clinicians to reevaluate critical care management strategies for such patients. Critical illness occurs in approximately one third of allogeneic transplants, necessitating that critical care nurses be familiar with this therapy and its reported complications. Critical care nurses are an integral part of producing the reported cure and remission rates, despite significant complications. In this article, the authors outline the common critical care problems of this patient population. The chronologic format enables the practitioner to correlate and differentiate key characteristics of potential complications. A case study, with clinical symptoms representing several potential etiologies, demonstrates the application of these concepts. Through the use of nursing knowledge of the unique needs of these patients, there is the potential to continue to improve patient outcomes.
骨髓移植（BMT）正在成为癌症治疗领域广泛应用的一种治疗方式。这种疗法能让超过半数曾患致命疾病的患者实现长期无病生存，促使临床医生重新评估对此类患者的重症护理管理策略。约三分之一的异基因移植患者会发生危重症，这就要求重症护理护士熟悉这种疗法及其所报道的并发症。尽管存在严重并发症，但重症护理护士在实现所报道的治愈率和缓解率方面发挥着不可或缺的作用。在本文中，作者概述了这类患者群体常见的重症护理问题。按时间顺序排列的形式使从业者能够关联并区分潜在并发症的关键特征。一个包含代表几种潜在病因临床症状的案例研究展示了这些概念的应用。通过运用针对这些患者独特需求的护理知识，有望持续改善患者的治疗效果。
