腹膜透析治疗小儿先心病术后急性肾功能衰竭

Peritoneal dialysis for children with acute renal failure following cardiac surgery of congenital heart disease

目的 探讨腹膜透析(PD)对小儿先天性心脏病术后急性肾功能衰竭(ARF)的治疗效果。方法 对36例先心病术后ARF行腹膜透析治疗患儿的临床资料进行透析效果、转归合并症进行回顾性分析。结果 单纯ARF的死亡率12.5％,显著低于合并其它系统器官衰竭组的45％(P<0.05),腹膜透析3～30天内肾功能恢复,其中1～2天内血钾[K^+]恢复正常,2～5天内血碳酸氢根[HCO_3^-]恢复正常,4～6天内血尿素氮(BUN)下降49.2％,血肌酐(Cr)下降42.6％。结论 对小儿先心病术后ARF,及早进行腹膜透析具有较好的治疗效果。

Objective To evaluate the therapeutic effect of peritoneal dialysis (PD) for children with a-cute renal failure following cardiac surgery of congenital heart disease. Methods Retrospective data from 36 children with ARF following cardiac surgery undergoing PD were analyzed.Results The motality (12.5% ) in palien ts with only ARF was significantly lower than those that (45% ) associated with other failing organs (P <0.05) .Renal function recovered within 3 to 30 days after PD, blood potassium declined to normai within 1-2 days, bicarbonate ion declined to normai within 2-5 days, BUN and Cr declined by 49.2% and 42.6% respectively within 4-6 days after PD.Conclusion PD has a good therapeulic effect on ARF following cardiac surgery of children with congenital heart disease.