Ю.Н. Дубинина1, В.О. Саржевский2, В.Я. Мельниченко2
1 Клиника амбулаторной онкологии и гематологии, ул. Молодогвардейская, д. 2, корп. 1, Москва, Российская Федерация, 121467
2 ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова», Минздрава России, ул. Нижняя Первомайская, д. 70, Москва, Российская Федерация, 105203
Для переписки: Юлия Николаевна Дубинина, ул. Молодогвардейская, д. 2, корп. 1, Москва, Российская Федерация, 121467; тел.: +7(499)112-25-04; e-mail: medicinemsc@gmail.com
Для цитирования: Дубинина Ю.Н., Саржевский В.О., Мельниченко В.Я. Роль биохимических маркеров воспаления у пациентов с нейтропенией после химиотерапии. Клиническая онкогематология. 2019;12(4):461–7.
DOI: 10.21320/2500-2139-2019-12-4-461-467
РЕФЕРАТ
Увеличение количества аутологичных и аллогенных трансплантаций костного мозга и гемопоэтических стволовых клеток, а также технологичность процесса ведут к появлению более токсичных курсов лекарственной противоопухолевой терапии, а следовательно, к развитию осложнений. Наиболее серьезными среди осложнений данного вида лечения являются инфекционные. Вероятность развития инфекций у пациентов с нейтропенией после химиотерапии достигает 90 %. В связи с этим растет необходимость поиска оптимального маркера инфекционных осложнений. В настоящем обзоре рассматриваются основные биохимические маркеры воспаления, приводится анализ исследований, позволяющих оценить диагностическую и прогностическую значимость С-реактивного белка, прокальцитонина и пресепсина.
Ключевые слова: сепсис, аутологичная трансплантация костного мозга, аллогенная трансплантация костного мозга, химиотерапия, инфекция, прокальцитонин, пресепсин, С-реактивный белок.
Получено: 7 мая 2019 г.
Принято в печать: 11 сентября 2019 г.
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