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I.はじめに
人工透析療法の進歩により透析患者の生存率は著しく向上し,腎不全患者は維持透析をうけながら長期間生存することが可能となった.したがって,透析導入開始直後の合併症のみならず長期透析患者の合併症が問題となってきている.近年,透析患者の死因に占める脳血管障害の比率が上昇し,頭蓋内出血,不均衡症候群,透析脳症などの中枢神経系合併症が注目を集めており,脳神経外科領域でも注意する必要がある.今回われわれは人工透析患者に発症した硬膜下血腫の1例を経験したので文献的考察を加えて報告する.
In proportion to a rapid increase of dialysis patient, death caused by neurological complications is increas-ing annually among long-term hemodialyzed patients.
A case of chronic subdural hematoma during long-term hemodialysis is presented.
A 35-year-old male had undergone hemodialysis three times weekly for four years. He had marked changes in body-weight and blood pressure between hemoclialysis. In March 1983, he had a headache, vomiting, and left hemiparesis. The CT scan showed a right subdural hematoma. He was admitted to our hospital 10 clays later because of progressive hemi-paresis and speech disturbance.
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