infections: leukemia cause the normal Leukopenia, especially neutropenia, while chemotherapy and other factors also cause the lack of PMN, so that patients prone to serious infections or sepsis. Often caused by bacterial infection are: Gram - positive bacteria, such as Staphylococcus aureus, hemolytic streptococcus, Corynebacterium, such as Gram-negative bacilli, such as Pseudomonas aeruginosa, E. coli, bacilli such as Klebsiella. fungal infection Candida albicans, Aspergillus, the fungal infection occurred in many long-term myeloid Darun less or persistent fever and antibiotics in patients with non-sensitive. Some accept patients treated with corticosteroids, because of cellular immune function Lower, more susceptible to virus infection, such as chickenpox with herpes-like virus, herpes simplex virus. In addition pneumocystis carinii infection is also common, upper respiratory tract infection and pneumonia for the common type.
intestinal failure: the treatment of leukemia because of the chemotherapy drugs, radiotherapy means to influence gastrointestinal function, and cause stomach fear failure, patients with nutritional supplements to become a prominent problem, the current use of subclavian vein cannulation to superior vena cava with high-nutrition is only part of the solution, nutritional deficiencies can occur pneumonia, enteritis and other complications.
evidence of high blood uric acid: normal because of decomposition of nucleic acid metabolism, the daily urinary uric acid from 300 ~ 500mg. Leukemia patients because of the large number of leukemia cells nucleic acid decomposition can increase uric acid excretion several dozen times. When the patients undergoing chemotherapy , radiotherapy and other treatment appeared hyperuricemia, applications such as corticosteroids can increase the high uric acid deficiency, high concentrations of uric acid supersaturation and precipitation quickly, causing kidney damage and a wide range of small passenger and uric acid calculi, may cause oliguria, anuria. Therefore leukemia must be sufficient to replenish the liquid in order to guarantee a certain volume, and taking hold in mouth allopurinol alcohol, such as renal failure happened to be restrictions on the volume of rehydration, and dialysis treatment.
hemorrhage: leukemia patients because of malignant leukemia cell hyperplasia, markedly reduced platelet and easy to cause respiratory tract, digestive tract, urinary tract bleeding, especially intracranial hemorrhage, according to the cause to fight so take active measures to stop bleeding, including the infusion of platelet concentrate.
lung disease: leukemia patients because the normal ripe neutropenia, immune function, usually cause pulmonary infection. In addition leukemia cells, infiltration may be obstruction of small pulmonary blood vessels, bronchial and respiratory difficulties, respiratory distress syndrome , chest X-ray may have glass or miliary-like mesh, can be used for the lungs of experimental radiation therapy.
electrolyte imbalance: White backlog disease course of treatment is often due to damage leukemia cells over-or chemotherapy drug-induced renal injury, such as scheduling reasons, too much potassium. For because of chemotherapy-induced bad diet, digestive system disorders, lack of inclusion volume induced hypokalemia. or damage of leukemic cells so that an increase in the release of phosphorus, calcium and other cause. Therefore, in the course of treatment should pay attention to potassium, calcium, sodium and other electrolyte concentration.
Submitted by Health Studies on Sat, 03/28/2009 - 00:43
