摘要
目的 评估腹膜透析治疗在儿童心脏手术后维持体液平衡方面的有效性。方法 2 0 0 0年 7月至 12月间 ,12例 (2 0 8% ,12 / 5 76例 )先天性心脏病手术后病儿因急性肾功能不全接受了腹膜透析治疗。年龄 5月龄～ 7岁 ,平均 (2 9± 2 0 )岁 ;体重 7 4～ 18 5kg ,平均 (12± 3)kg。结果 术后 4 4～ 4 2h ,平均(2 1 2± 11 4 )h开始腹膜透析 ;持续 0 5～ 15 0d ,平均 (6 3± 4 8)d。死亡 3例。腹膜透析排出液量每天(34 7± 17 8)ml/kg。透析期间血动力学及呼吸功能指标均有改善。血小板减少及高血糖为主要并发症 ,但均易于治疗。结论 腹膜透析是治疗儿童先天性心脏病手术后急性肾功能不全的一种安全、有效的手段。
Objective: To investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation. Methods: From July, 2000 to December, 2000, 12 patients (2.08%) of 576 consecutive children who underwent heart operation required peritoneal dialysis. Age was (2.9±2.0) years (5 months～7 years). Body weight was (12±3) kg (7.4～18.5 kg). Results: The interval between the operation and initiation of peritoneal dialysis was (21.2±11.4) hours (4.4～42 hours). Duration of peritoneal dialysis was (6.3±4.8) days (0.5～15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was (34.7±17.8) ml·kg -1·day -1. Thrombcytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period. Conclusion: The early institution of peritoneal dialysis is an effective and safe method for treating acute renal failure after cardiac operation in children.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2002年第6期337-339,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
先天性心脏病
术后
腹膜透析
治疗
儿童
Heart defects, congenitalKidney failure, acutePeritoneal dialysis
