Yaxley Julian, Lesser Alexander, Campbell Victoria
Department of Renal Medicine, Sunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Department of Intensive Care Medicine, Gold Coast University Hospital, Southport, QLD, 4215, Australia.
J Nephrol. 2025 Mar;38(2):423-433. doi: 10.1007/s40620-024-02124-1. Epub 2024 Oct 30.
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.
血液透析单元是一个复杂的临床环境。血液透析治疗中出现的医疗紧急情况相对较少，但与高发病率和死亡率相关。透析期间紧急情况的管理具有挑战性，并且与所有肾脏病和重症监护临床医生的实践相关。对于这一独特的患者群体，没有专门的复苏指南。这篇综述文章基于现有最佳证据，概述了重要的透析期间紧急情况（低血压、高血压、出血、缺氧、神经功能障碍、心脏骤停）的评估和治疗。
