증례 challenge · 혈액종양 · 응급 · 신장 · teaching

종양(TLS)처리 경로 · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on Cairo-Bishop

Case #1혈액종양 · 응급 · 신장

📋 Case data

Cairo-Bishop고위험· TLS

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Cairo-Bishop

Cairo-Bishop 분류(검사적·임상적 TLS 또는 고위험)는?

💡 종양 부담이 큰 혈액종양의 항암치료 후(치료 전 3일부터 후 7일까지)에 흔하다. 검사적 TLS = 다음 중 ≥2개가 이상이거나 기저치 대비 25% 변화: 요산 ≥476 µmol/L(8 mg/dL), 칼륨 ≥6.0 mmol/L, 인 ≥1.45 mmol/L(성인), 칼슘 ≤1.75 mmol/L. 임상적 TLS = 검사적 TLS에 다음 중 하나가 동반: 크레아티닌 ≥1.5× 정상 상한(AKI), 부정맥·급사, 경련.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.