急性腎不全に対するヘパリン併用中心静脈栄養法

TREATMENT OF ACUTE RENAL FAILURE BY INTRAVENOUS HYPERALIMENTATION WITH HEPARIN

緒言

　われわれは，急性腎不全に対して中心静脈栄養（Intravenous Hyperalimentation，以下IVHと略す）が有効であることをすでに発表^1〜3）したが，後に述べる理由から，最近はほとんど少量のヘパリンを加えてIVHを施行している。急性腎不全にヘパリン併用のIVHを施行した症例では，早期に利尿を来す例を経験したので，若干の検討を加えて報告する。

Intravenous hyperalimentation (IVH) with low dose heparin (4,000~10,000 u/day) was used in 12 patients with acute renal failure (ARF), who were all treated for advanced cancer.

The causes of ARF were the administration of antibacterial drugs in 3 cases, major operation in 3, dehydration or cachexiain in 3, tumor lysis syndrome in one, infection in one and myeloma kidney in one case.

Nine of 12 patients recovered from ARF by the treatment of IVH with heparin. One patieat un-derwent hemodialysis in order to recover from ARF.