小児敗血症に対するアフェレシス(<特集>敗血症とアフェレシス)

概要

論文の詳細を見る
The role of apheresis in the treatment for pediatric sepsis is unclear. There are not enough experience and evidence, because of the less incidence of pediatric sepsis and the infrequent introduction of apheresis for sepsis. The differences between adult and pediatric apheresis are small physical size and the variation of physical size. Because of small physical size, the importance of blood access and keeping warm are higher. Because of the variation of physical size from neonate to adolescent, it is very important to choose the appropriate size of catheter and membrane. Safe pediatric apheresis is very complex and it is necessary to devise the treatment very carefully, so cases should be aggregated to tertiary medical centers. From now, it is necessary to put children with severe sepsis into the tertiary centers and induct prospective studies for making the role of apheresis for pediatric sepsis clear.
2012-05-31