臨牀透析 Vol.14 No.2(5)


特集名 急性腎不全の血液浄化法
題名 急性血液浄化療法実施中の合併症 -- 抗凝固薬の選択も含めて
発刊年月 1998年 02月
著者 南方 保 北野病院内科
著者 深沢 晃 北野病院内科
【 要旨 】 集中治療の場で,急性腎不全(ARF)治療にさまざまな方法の利用と応用を通し著しい進歩がなされてきた.治療法の選択は,患者の臨床症状はもちろんその施設の技術的能力と経験に負うところが大である.とくに持続腎治療法は重篤なARFの管理に急速に用いられるようになり,経験の少ない医療者による操作の機会が増している.事故予防には治療の手順の作成と熟達者のみの使用に制限することで可能であるが,さらにわれわれは,それらの技術に慣れ,合併症を学ぶ必要がある.
Theme Recent Advances in Acute Renal Failure: pathogenesis and treatment
Title Complications of renal replacement therapies in the acute renal failure setting : including the choice and side effects of anticoagulants
Author Tamotsu Minakata Department of Internal Medicine, Kitano Hospital
Author Akira Fukazawa Department of Internal Medicine, Kitano Hospital
[ Summary ] Significant advances have occurred in the availability and application of different modalities and new drugs for the treatment of acute renal failure in the intensive care unit setting. The choice of renal replacement modality depends on the clinical status of the patient as well as the technical capabilities and experience of one's own institution. CRRT techniques are rapidly emerging for management of the critically ill patient with ARF and the nature of CRRT provides greater opportunities for manipulations by inexperienced personnel. Although accidents can be prevented by standardization of protocols for use of these therapies and by restricting the use to trained personnel, we should be more familiar with the techniques and be aware of complications associated with these therapies.
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