書誌事項
- タイトル別名
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- Clinical study on the effect of blood purification on crush syndrome. An Analysis of 23 cases caused by the Great Hanshin Earthquake.
- An Analysis of 23 Cases Caused by the Great Hanshin Earthquake
- 阪神大震災23例の分析から
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説明
The Great Hanshin Earthquake resulted in more than 300 cases of severe crush syndrome cases, of which 23 were transferred to our medical center within the first three days from several hospitals located in the disaster area. Taking the urine output, circulatory status and laboratory date (serum potassium and creatinine) of the patients into account, we treated them by several methods including hemodialysis (HD), continuous hemodialysis (CHD) and plasma exchange (PE). Based on the clearance of myoglobin and the time of convalescence from acute renal failure, the effectiveness of different methods of blood purification was evaluated. No patients died, or suffered renal failure after two months. The duration of blood purification was significantly correlated with the initial level of serum myoglobin, CK and AST on admission. Although the amount of myoglobin eliminated by CHD in 24 hours was larger than that by single PE, serum myoglobin level decreased linearly regardless of the methods of blood purification used. Metabolism and extraction of myoglobin released into the blood might have found alternative pathways in addition to the kidneys. Therefore, once acute renal failure has developed, the method employed for blood purification should be selected from the point of view of treating acute renal failure, rather than the elimination of myoglobin.
収録刊行物
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- 日本救急医学会雑誌
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日本救急医学会雑誌 7 (10), 633-640, 1996
一般社団法人 日本救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204371107200
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- NII論文ID
- 10005647145
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- NII書誌ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
