| 特集名 | 腎不全患者の血液浄化療法の選択 | |
|---|---|---|
| 題名 | 日常遭遇する病態と血液浄化療法の選択 (5) 造血器疾患 | |
| 発刊年月 | 2000年 01月 | |
| 著者 | 海津 嘉蔵 | 産業医科大学腎センター |
| 【 要旨 】 | 種々の血液疾患により急性または慢性腎不全が惹起されたために，あるいは維持透析患者に種々の血液疾患が合併したために血液浄化療法を実施する際に考察すべき点が生じる．本稿では，具体的な疾患について，おもに，血液浄化療法の実施上の考慮すべき点について述べる．多発性骨髄腫，白血病，再生不良性貧血，DIC,溶血性尿毒症症候群，エリスロポエチン抵抗性貧血などについて血液浄化療法の選択を中心に解説する． | |
| Theme | The Choice of Blood Purification for the Patients with Renal Failure | |
|---|---|---|
| Title | Blood purification and its selection due to pathophysiology | |
| Author | Kazo Kaizu | Kidney Center, University of Occupational and Environmental Health, School of Medicine |
| [ Summary ] | We need to consider how to apply blood purfication therapy when patients with various hematological diseases acute or chronic renal failure, or when regular dialysis patients developped various blood diseases. In this paper, several blood diseases are discussed. 1. Multiple myeloma : Double filtration plasmapheresis and cryofiltration were applied. 2. Aplastic anemia and leukemia : Blood access and anticoagulants should be considered. 3. DIC : Continuous hemodia- or hemo-filtrations is applied. 4. Hemolytic uremic syndrome (HUS) : Plasma pheresis is applied. 5. Refractory anemia with erythropoietin : Efficacy of dialysis should be considered in order to restore under-dialysis condition. |
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