| 特集名 | 多臓器不全と血液浄化法 | |
|---|---|---|
| 題名 | 多臓器不全時における血液浄化法 | |
| 発刊年月 | 1999年 09月 | |
| 著者 | 加来 信雄 | 久留米大学医学部救急医学 |
| 【 要旨 】 | 従来は多臓器不全に陥ると救命不可能であったが，最近では血液浄化療法の進歩により救命が可能になってきた．しかしながら，不全臓器数が多くなるほど救命は困難で，不全臓器数が少ないうちに血液浄化を速やかに行うことが重要である． また，不全臓器に対する血液浄化について，すでに，複数の臓器が不全状態に陥っているならば，臓器の機能が単純なもの(たとえば腎臓)に対して，血液浄化を確実に行って不全臓器の機能を代行し，複雑な機能をもつ臓器の自然回復を期待するのが良策である． その血液浄化の開始は臓器の機能が不全状態に陥った時点である． |
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| Theme | Multiple Organ Failure and Blood Purification Therapy | |
|---|---|---|
| Title | Blood purification on multiple organ failure | |
| Author | Nobuo Kaku | Department of Traumatology and Critical Care Medicine, Kurume University School of Medicine |
| [ Summary ] | Previously, the patients' lives could not be saved when multiple organ failures developed. However, recent advances in blood purification therapy have resulted in increased survivalrates. However, saving lives becomes more difficult with an increased number of failing organs. Blood purification should be performed rapidly while the number of failing organs is low. Concerning blood purification for failing organs, if several organs fail, blood purification should be performed on organs which simple functions (for example, the kidney) to compensate for the functions of other failing organs and achieve spontaneous improvement in organs with complex functions. Blood purification must be started when organ function fails. |
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