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王东浩. 实体肿瘤重症患者抢救监护治疗进展与展望[J]. 肿瘤防治研究, 2023, 50(12): 1149-1152. DOI: 10.3971/j.issn.1000-8578.2023.23.0682
引用本文: 王东浩. 实体肿瘤重症患者抢救监护治疗进展与展望[J]. 肿瘤防治研究, 2023, 50(12): 1149-1152. DOI: 10.3971/j.issn.1000-8578.2023.23.0682
WANG Donghao. Progress and Prospect in Intensive Care and Treatment of Patients with Solid Tumors[J]. Cancer Research on Prevention and Treatment, 2023, 50(12): 1149-1152. DOI: 10.3971/j.issn.1000-8578.2023.23.0682
Citation: WANG Donghao. Progress and Prospect in Intensive Care and Treatment of Patients with Solid Tumors[J]. Cancer Research on Prevention and Treatment, 2023, 50(12): 1149-1152. DOI: 10.3971/j.issn.1000-8578.2023.23.0682

实体肿瘤重症患者抢救监护治疗进展与展望

Progress and Prospect in Intensive Care and Treatment of Patients with Solid Tumors

  • 摘要: 近年来肿瘤发病率居高不下,肿瘤治疗手段层出不穷,肿瘤患者生存率有了显著提高,肿瘤救治理念也发生了显著改变。各种疗法在治疗和控制肿瘤的同时,亦会使患者产生重症状态,需要重症医学的医护人员进行救治。肿瘤患者产生重症状态多因疾病本身、围治疗期并发症以及伴随疾病及院内获得性疾病所致。新形势下救治肿瘤重症患者要考虑到代谢异常、凝血系统异常、免疫机制异常等特点,全面评估,发挥重症医学科救治平台作用,推广计划内转入ICU的救治理念,提高救治成功率和救治效率。将患者转出ICU后仍可继续按计划进行后续抗肿瘤治疗作为肿瘤重症患者ICU救治终点,构建肿瘤重症医学特色的学科和人才梯队,治疗好“肿瘤的重症和重症的肿瘤”是未来的发展方向。

     

    Abstract: The incidence of cancer has remained high in recent years, and anti-tumor treatment methods are emerging. Cancer treatment has undergone significant changes, and the survival rate of patients with cancer has significantly improved. Various types of new anti-tumor treatments may not only treat and control tumor growth but also place patients in critical situations that require treatment by intensive care medical personnel. Patients with cancer are in critical condition mainly due to three reasons: severe cases caused by cancer diseases themselves, complications during the perioperative period, and accompanying diseases and hospital acquired diseases. In the new situation, we should consider patient characteristics, such as abnormal metabolism, abnormal coagulation system, and abnormal immune mechanism, to save them from serious illness. We need to comprehensively evaluate patients with cancer, emphasize the role of the Intensive Care Unit (ICU) treatment platform, and promote the treatment concept of planned transfer to ICU, to improve the success rate and efficiency of treatment. After transferring the patient out of the ICU, the planned follow-up anti-tumor treatment can still be continued as the endpoint of ICU treatment for critically ill patients with cancer. In the future, efforts will be devoted to establishing a discipline and talent echelon with distinctive characteristics of oncology critical care medicine and treating "the critical illness of cancer and the cancer of critical illness".

     

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