療養病床における血液透析患者死亡例の検討

概要

論文の詳細を見る
MIA(malnutrition, inflammation and atherosclerosis) syndrome is a major source of morbidity and mortality for hemodialysis patients. This report describes clinical findings in 36 death cases of hemodialysis patients in group of beds for long term care. A lot of cases of the administration in group of beds for long term care were unstable vital signs and general condition, and complicated with malnutrition, severe atherosclerosis and open dermatopathy such as toe necrosis and decubitus ulcer. About 40% of the cases were carrier of MRSA and / or bacteria of opportunistic infection. The main cause of death was MOF(heart failure, respiratory failure, infection, bleeding, disturbance of conciousness, etc). in the management of the hemodialysis patients in group of beds for long term care, it is very important to improve general condition, especially nutritional state, prevention of infection and hemorrhage, especially gastrointestinal bleeding and terminal care including palliative and spiritual care.
東海大学短期大学部の論文