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In Japan, 9 cases of severe lithium intoxication have been treated by hemodialysis so far, and the usefulness and indications of this procedure are not yet understood fully. We have recently experienced a case of lithium intoxication treated by hemodialysis. Considering this case together with those reported previously, we have prepared some preliminary guidelines for the application of hemodialysis to patients with lithium intoxication. The blood concentration of lithium, renal function, the severity of consciousness disturbance and clinical symptoms such as somatic complications are, of course, important indices for the application of this therapy. We think that the signs of intoxication and the time interval between the onset and the beginning of treatment also serve as useful indices for application of hemodialysis.
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
January 1985,
Journal of toxicology. Clinical toxicology,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
January 2006,
American journal of therapeutics,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
May 1957,
Annals of internal medicine,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
April 2009,
Therapeutic drug monitoring,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
May 2001,
American journal of kidney diseases : the official journal of the National Kidney Foundation,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
January 2016,
The Pan African medical journal,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
March 2011,
Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
January 1977,
Proceedings of the Clinical Dialysis and Transplant Forum,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
May 1978,
The American journal of medicine,
H Kasahara, and
T Shinozaki, and
K Nukariya, and
H Nishimura, and
H Nakano, and
T Nakagawa, and
S Ushijima
January 1979,
Journal of dialysis,
