血液透析期间紧急情况的评估和处理。

IF 2.7 4区医学 Q2 UROLOGY & NEPHROLOGY

Journal of Nephrology Pub Date : 2025-03-01 Epub Date: 2024-10-30 DOI:10.1007/s40620-024-02124-1

Julian Yaxley, Alexander Lesser, Victoria Campbell

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引用次数: 0

摘要

血液透析室是一个复杂的临床环境。血液透析治疗并发的医疗紧急情况相对较少，但发病率和死亡率却很高。对血液透析内突发事件的处理极具挑战性，与所有肾脏病学和重症监护临床医生的实践息息相关。目前还没有针对这一特殊患者群体的专门复苏指南。这篇综述文章基于现有的最佳证据，概述了重要的肾内急症（低血压、高血压、出血、缺氧、神经功能紊乱、心跳骤停）的评估和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Assessment and management of emergencies during haemodialysis.

The haemodialysis unit is a complex clinical environment. Medical emergencies complicating haemodialysis treatment are relatively infrequent but are associated with high morbidity and mortality. The management of intradialytic emergencies is challenging and relevant to the practice of all nephrology and critical care clinicians. There are no dedicated resuscitation guidelines for this unique patient population. This review article provides an outline of the assessment and treatment of important intradialytic emergencies (hypotension, hypertension, haemorrhage, hypoxia, neurologic disturbances, cardiac arrest) based on the best available evidence.

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来源期刊

Journal of Nephrology 医学-泌尿学与肾脏学

CiteScore

5.60

自引率

5.90%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Journal of Nephrology is a bimonthly journal that considers publication of peer reviewed original manuscripts dealing with both clinical and laboratory investigations of relevance to the broad fields of Nephrology, Dialysis and Transplantation. It is the Official Journal of the Italian Society of Nephrology (SIN).