関西医科大学雑誌
Online ISSN : 2185-3851
Print ISSN : 0022-8400
ISSN-L : 0022-8400
Successful Acute Hemodialysis Performed immediately after Cardiac Arrest due to Uremia
Kazunobu YamagamiTohru YamamotoKen-ichi KatouYoshitoshi ItohTakaya Tanaka
著者情報
キーワード: acute hemodialysis, acidosis, CPR, uremia
ジャーナル フリー

1990 年 42 巻 Supplement 号 p. S50-S54

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抄録
We report a patient with uremia due to polycystic kidneys who developed cardiopulmonary arrest shortly after admission. The initial laboratory data revealed severe acidosis and hyperkalemia caused by terminal uremia. The patient was resuscitated after 20 minutes of cardiac massage with the administration of epinephrine and other inotropic agents. Subsequently, acute hemodialysis was performed even though a stable circulation could not be maintained by the constant infusion of dopamine. It is very important to take immediate steps to correct the severe acidosis and significant derangements of electrolytes which are present in cardiac emergencies due to uremia.
著者関連情報
© The Medical Society of Kansai Medical University
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