臨牀透析 Vol.22 No.11(2-3-1)


特集名 透析医療における災害対策
題名 災害に学ぶ -- 過去から [3] 2004年新潟県中越地震 (1)教訓と対策,およびエコノミークラス症候群への配慮
発刊年月 2006年 10月
著者 鈴木 正司 信楽園病院腎センター
【 要旨 】 大地震では透析治療の継続も困難となり,患者の生命の危機に直結する.新潟県中越地震でも3施設で透析治療が不能となったが,断水,停電,ガス供給停止のほかにも,水処理や透析液作製などの大型装置の移動・転倒も原因であった.しかし近隣および遠隔地の透析施設との連携により,患者の治療は継続できた.そこでは情報収集と発信,広域での情報共有の重要性が明らかとなった.緊急離脱,患者監視装置の固定などに関して従来の発想が否定された.また,新たにエコノミークラス症候群の発症が注目された.
Theme Contingency Plans for Dialysis Treatment
Title Lessons from the Mid Niigata Prefecture Earthquake in 2004
Author Masashi Suzuki Kidney Center of Shinraku-En Hospital
[ Summary ] Discontinuation of dialysis therapy is inevitable in disasters, because of a lack of water, electricity and gas even though the building may be preserved. Damage to water preparation machines and dialysate mixing machines, due to damage incurred during moves or from it falling over, led to a reduction in dialysis delivery in three facilities after the Mid Niigata Prefecture Earthquake in 2004. In spite of this, well organized co-operation between remote facilities and rest homes in this district was successful in supplying treatment to patients. Collection, transmission and standardization of information through the use of high-tech as well as low-tech methods was important. Urgent evacuation methods for those restrained by hemodialysis, and correct methods for locking the wheels of free standing consoles were reevaluated in a new light.
戻る