アブストラクト
| Title | 中心静脈カテーテル管理 |
|---|---|
| Subtitle | 特集 「腸管リハビリテーション Update」 |
| Authors | 田附裕子, 上野豪久, 奥山宏臣 |
| Authors (kana) | |
| Organization | 大阪大学大学院医学系研究科外科学講座小児成育外科 |
| Journal | 外科と代謝・栄養 |
| Volume | 54 |
| Number | 6 |
| Page | 234-240 |
| Year/Month | 2020 / 12 |
| Article | 報告 |
| Publisher | 日本外科代謝栄養学会 |
| Abstract | 中心静脈栄養(total parenteral nutrition: TPN)が必須の腸管不全患者において, 中心静脈カテーテル(central venous catheter: CVC)の管理は, 重要な腸管リハビリテーションの一つである. しかし, 長期TPN患者においては, 種々の合併症が生じうる. 中でも, カテーテル関連血流感染症(catheter-related bloodstream infection: CRBSI), CVC留置が可能なアクセス中枢ルートの減少, そして静脈栄養関連肝機能障害(parenteral nutrition associated liver disease: PNALD)は在宅中心静脈栄養を継続する患者においてQOLの低下だけでなく予後に関わる重篤な合併症である. 今回, 従来のCVCガイドラインでは明確な記載がされていないが, 最近実施されている合併症の減少を目指したCVC管理について紹介する. |
| Practice | 臨床医学：外科系 |
| Keywords | 中心静脈カテーテル, カテーテル管理, カテーテル関連血流感染, Closed system, PNALD |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
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