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Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine最新文献

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基調講演 基調講演
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12866
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引用次数: 0
シンポジウム 研讨会
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12871
{"title":"シンポジウム","authors":"","doi":"10.1002/jja2.12871","DOIUrl":"https://doi.org/10.1002/jja2.12871","url":null,"abstract":"","PeriodicalId":19346,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
一般口演 一般口演
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12875
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引用次数: 0
司会・特別発言・コメンテーター索引 主持人、特别发言人和评论员索引
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12881
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引用次数: 0
開催概要 开催概要
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12864
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引用次数: 0
JAAM–EMS Asia international Poster Session JAAM-EMS 亚洲国际海报展
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12877
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引用次数: 0
Proposed Collaboration Project Symposium of the 51st Annual Meeting of the Japanese Association for Acute Medicine and the 6th meetings of the EMS Asia 2023 Tokyo 日本急症医学协会第 51 届年会暨 2023 年东京亚洲急救医疗系统第 6 次会议拟议合作项目研讨会
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12873
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引用次数: 0
口演（学生・研修医セッション） 口头报告（学生和住院医师会议）
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12876
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引用次数: 0
一般ポスター 普通海报
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-11-29 DOI: 10.1002/jja2.12878
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引用次数: 0
持続的血液透析から緩徐低効率血液透析への変更が有効と考えられた重篤な急性メトホルミン中毒の1例(Effectiveness of converting a continuous renal replacement therapy to a sustained low–efficiency dialysis for life–threatening metformin–associated lactic acidosis: a case report) 从持续血液透析改为缓慢低效率血液透析被认为有效的一例严重急性二甲双胍中毒(Effectiveness of converting a continuous renalreplacement therapy to a sustained low - efficiency dialysis for life - threatening metformin - associatedlactic acidosis: a情况报告)
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine Pub Date : 2023-09-01 DOI: 10.1002/jja2.12836
田中 康次郎, 藤澤 美智子, 武居 哲洋, 米澤 直樹, 杉木 馨, 甲斐 貴之, 唐津 進輔
{"title":"持続的血液透析から緩徐低効率血液透析への変更が有効と考えられた重篤な急性メトホルミン中毒の1例(Effectiveness of converting a continuous renal replacement therapy to a sustained low–efficiency dialysis for life–threatening metformin–associated lactic acidosis: a case report)","authors":"田中 康次郎, 藤澤 美智子, 武居 哲洋, 米澤 直樹, 杉木 馨, 甲斐 貴之, 唐津 進輔","doi":"10.1002/jja2.12836","DOIUrl":"https://doi.org/10.1002/jja2.12836","url":null,"abstract":"　メトホルミン関連乳酸アシドーシスは致死率の高い病態であり，乳酸と薬物クリアランスの高い間欠的腎代替療法が治療の第一選択とされる。血行動態の不安定な場合には持続的腎代替療法（continuous renal replacement therapy: CRRT）が選択肢とされるが，両者の中間的位置づけの緩徐低効率血液透析（sustained low efficiency dialysis: SLED）の有効性は不明である。CRRTが奏功せずSLEDへの変更が有効と考えられた重篤なメトホルミン関連乳酸アシドーシスの1例を報告する。38歳の女性，メトホルミン27.5gを過量服用後に救急搬送され，入院後にpH 6.83，乳酸24.0mmol/L，血圧85/50mmHgと高度な乳酸アシドーシスとショックを呈した。アドレナリンを含む高用量の循環作動薬投与下のためCRRTを選択したが，8時間経過後も乳酸やpHの改善に乏しいためSLEDへの変更を試みた。CRRT中の乳酸とpHの平均変化率は−0.12mmol/L/hr，0.002/hrであったのに対し，SLED中は一時的に循環作動薬の増量を要したものの，−0.85mmol/L/hr，0.05/hrと著明に改善した。重篤なショックを伴うメトホルミン関連乳酸アシドーシスには，一時的に循環補助の強化を要したとしてもSLEDが治療の選択肢となりうる。","PeriodicalId":19346,"journal":{"name":"Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine","volume":"209 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77687753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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