腹膜透析在儿童心脏病术后急性肾衰竭中的治疗体会

Peritoneal Dialysis after Repair of Congenital Heart Disease in Children

目的探讨腹膜透析(PD)治疗儿童先天性心脏病术后并发急性肾衰竭的疗效。方法对22例先心病术后ARF行PD治疗患儿的临床资料进行回顾性分析,观察肾功能指标变化情况。结果 22例患儿中治愈6例,占27.3%,死亡16例,占72.7%,本组病例K+和HC03-指标在PD治疗48h后明显好转(P<0.05)。治愈患儿平均动脉压、中心静脉指标呈好转趋势(P<0.05);死亡患儿无改善。结论小儿心脏手术后ARF应用PD治疗能够纠正电解质代谢紊乱和酸碱失衡,可降低死亡率。

Objective This study is evaluate the application of peritoneal dialysis（PD）for the treatment of acute renal failure（ARF）in children following open-heart surgery. Methods The clinical records of 22 cases of ARF after cardiac surgery for congenital heart defects were reviewed.clinical data were collected in all patients. Results Of the 22 patients required PD,overall mortality rate was 72.7%（16/22）,27.3% survive. The clinical signs of hyperkalemia and persistent metabolic acidosis more likely required PD within 48 hours. PD was proved effective and safe in improving renal and heart function in all survivors. Conclusion Peritoneal dialysis is an effective method for treating acute renal failure after cardiac operation in children.