文摘
血液学的恶性血液病患者发展严重肺部并发症有可怜的结果,特别是在骨髓移植(BMT)。我们研究了病因学,收益率不同的诊断工具,以及结果和预后因素在相应的人口承认我们的呼吸重症监护室(RICU)。总的来说,89年血液学的恶性血液病患者和肺并发症治疗在10年时间内被包括在内。潜在的恶性肿瘤主要是急性白血病和慢性粒细胞白血病(66/89,74%)。52的89例(58%)患者骨髓接受者。病原学的诊断可以在61/89(69%)的情况下获得的。37/89(42%)的病因学是传染性和非传染性的24/89 (27%)。血培养和支气管肺泡灌洗液细胞学检查是诊断工具产量最高(13/43(30%)和13/45(29%)的积极成果,分别)。尸体剖检结果一致,结果一生中43%的病例与感染性和非感染性的目的:60%。总体死亡率是70/89(79%),47/52(90%)在移植受者。 The requirement of mechanical ventilation, BMT, and an interval <90 days of BMT prior to ICU admission were independent adverse prognostic factors. The outcome in this patient population was uniformly poor. It was worst in bone marrow recipients developing pulmonary complications <90 days after transplantation and requiring mechanical ventilation. Decisions about intensive care unit admission and mech-anical ventilation should seriously consider the dismal prognosis of these patients.