臨牀透析 Vol.30 No.4(9)


特集名 透析診療のリスク・セーフティマネジメント
題名 事故対応:患者急変対応(救急処置)
発刊年月 2014年 04月
著者 伊丹 儀友 日鋼記念病院腎センター
【 要旨 】 透析中の患者の急変は,透析機器の問題と患者の状態に分けられる.透析機器の異常は日常の注意深い保守点検,操作・準備を確実に施行することで少なくできる.患者の急変で一番多く認められるのは低血圧であるが,不整脈/突然死,痙攣などの重篤な合併症も頻度は低いがみられる.常に準備し対応できるようにしておくことが重要である.
Theme Preventing medication errors in the dialysis unit
Title Acute hemodialysis complications
Author Noritomo Itami Kidney Center, Nikko Memorial Hospital
[ Summary ] Acute complications which occur in patients during hemodialysis can be divided into the categories of problems with hemodialysis equipment and other problems with the patient's condition. Problems with hemodialysis equipment can be reduced through comprehensive daily maintenance and careful preparation, as well as careful operative procedures. Hypotension is the most frequently observed acute complication in these patients. Arrhythmia and sudden death, spasms and other serious complications are rare but do occur. It is important that appropriate measures be taken to deal with these situations.
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