2018 Volume 42 Pages 25-29
A 52-year-old female case. A Patient with chronic nephropathy due to diabetic nephropathy was taken to our hospital by ambulance because of hypothermia and consciousness disturbance. Body temperature was 25.3 ℃, systolic blood pressure was 70 mmHg, diastolic blood pressure was 40 mmHg, sinus bradycardia with a heart rate of 40 beats/minute, and J wave in the electrocardiogram were observed at the time of visit. UN: 121.6 mg/dl, Cr: 13.2 mg/dl, due to uremia caused by acute exacerbation of chronic renal failure, it was diagnosed as having difficulty in body movement, hypothermia. It was necessary to remove uremic toxin and recover temperature at the same time, and it was possible to recover efficiently using hemodialysis.