書誌事項
- タイトル別名
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- Combined Plasma Exchange and Immunoglobulin Therapy in a Case of Severe Childhood Guillain-Barré Syndorome
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抄録
Plasma exchange (PE) was performed three times within seven days from the onset of symptoms (total exchanged plasma volume; 180ml·kg-1) in a two-year old female child with severe Guillain-Barré syndrome who required mechanical ventilation.<br>This was followed by Immunoglobulin therapy (0.4g·kg-1·day-1) for 5 days. The patieat was weaned from mechanical ventilation on the 34th day in the ICU.<br>Centrifugal PE with a larger circuit volume was complicated by hemodilution, while ultrafiltration PE was complicated by intra-circuit hemolysis. Although the hemodynamics remained stable and no obvious electrolyte abnormalities were observed in this patient, changes in blood constitution should be carefully monitored during PE.<br>Combined immunoglobulin therapy should be considered in cases such as this with aggravated neurological symptoms or decreased plasma constituents such as lipid and globulin after early stage serial PE.
収録刊行物
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- 日本集中治療医学会雑誌
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日本集中治療医学会雑誌 3 (1), 47-50, 1996
一般社団法人 日本集中治療医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204444322944
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- NII論文ID
- 130003641536
- 10007081183
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- NII書誌ID
- AN10474053
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- ISSN
- 1882966X
- 13407988
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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