肿瘤急症  

Oncology emergencies

作　　者：张洁 公保才旦[2] 王伟 陈松 Zhang Jie, Gongbao Cai - dan, Wang Wei, Chen Song.(Tumor Hospital Affiliated to Hainan Medical University（ Tumor Hospital of Hainan Province ） , Haikou 570100, China)

机构地区：[1]海南省医学院附属肿瘤医院(海南省肿瘤医院),海南海口570100 [2]青海省人民医院(公保才旦),青海西宁810007 [3]海南省医学院,海南海口571199 [4]海南省医学院第一附属医院急诊科,海南海口571199

出　　处：《中国急救医学》2018年第3期263-268,共6页Chinese Journal of Critical Care Medicine

摘　　要：肿瘤急症发生在癌症患者发病以及治疗的每一个阶段，医生要识别这些急症并能够进行适当的治疗。肿瘤急症对临床医生来说是一个挑战，因为它涉及多个学科诊疗，并且需要快速干预，以避免患者死亡或严重的永久性损伤，最终目标是将管理肿瘤患者的风险降到最低。本文列举了5个常见的肿瘤急症情况，包括上腔静脉综合征（SVCS）、恶性脊髓压迫（MSCC）、颅内压增高、静脉血栓栓塞（VTE）及高钙血症。初步讨论肿瘤急症的发病率、机制、临床特征、诊断以及治疗情况。Oncology emergencies occur at every stage of the onset and treatment of cancer patients. Doctors must be able to identify these emergencies and be able to carry out appropriate treatment. Oncology emergencies are a challenge for clinicians because it involves multiple disciplines and requires rapid intervention to avoid death or severe permanent damage. The ultimate goal is to minimize the risk of managing cancer patients. This article lists five common cases of oncology emergencies, including superior vena cava syndrome （SVCS）, malignant spinal cord compression （ MSCC）, increased intracranial pressure, venous thromboembolism （VTE） and hypercalcemia. The incidence, mechanism, clinical features, diagnosis and treatment of oncology emergencies were discussed.

关 键 词：肿瘤 急症 上腔静脉综合征(SVCS) 恶性脊髓压迫(MSCC) 静脉血栓栓塞(VTE) 

分 类 号：R730.6[医药卫生—肿瘤]