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改良腹膜透析术治疗新生儿心脏手术后急性肾功能衰竭 被引量：9

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摘要 随着新生儿复杂危重先天性心脏病手术数量的增加,术后急性肾功能衰竭已成为影响新生儿早期预后的重要并发症,据统计,其发生率为10%~39%[1],病死率高达33%~79%[2]。腹膜透析操作简便,不需要建立另外的血管通路和全身抗凝,费用低,且小儿滤过率高,疗效确切,是目前新生儿和婴幼儿中、重度急性肾功能衰竭的首选替代治疗[3-4]。然而,传统的腹膜透析并发症在新生儿中的发生率高于一般的婴幼儿,
作者 林国强 蒋海河 罗万俊 龙隆 黄凌瑾 罗凡砚
机构地区 中南大学湘雅医院心胸外科
出处 《中国当代儿科杂志》 CAS CSCD 北大核心 2015年第8期880-883,共4页 Chinese Journal of Contemporary Pediatrics
关键词 急性肾功能衰竭 腹膜透析 心脏手术 单腔静脉导管 血管通路 穿刺置管 腹膜透出液 腹透液 置管过程 透析液
分类号 R722.1 [医药卫生—儿科]
  • 相关文献

参考文献18

  • 1Sasser WC, Robert SM, Askenazi DJ, et al. Peritoneal dialysis: an alternative modality of fluid removal in neonates requiring extracorporeal membrane oxygenation after cardiac surgery[J]. J Extra Corpor Technol, 2014, 46(2): 157-161.
  • 2Mishra J, Dent C, Tarabishi R, et al. Neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker for acute renal injury after cardiac surgery[J]. Lancet, 2005, 365(9466): 1231-1238.
  • 3蔡及明,史珍英,周燕萍,陈玲,刘锦纷,徐志伟,苏肇伉.腹膜透析在小儿心脏手术后急性肾功能不全中的应用[J].中华胸心血管外科杂志,2007,23(4):224-227. 被引量：11
  • 4Kaddourah A, Goldstein SL. Renal replacement therapy in neonates[J]. Clin Perinatol, 2014, 41(3): 517-527.
  • 5Madenci AL, Stoffan AP, Rajagopal SK, et al. Factors associated with survival in patients who undergo peritoneal dialysis catheter placement following cardiac surgery[J]. J Pediatr Surg, 2013, 48(6): 1269-1276.
  • 6Agah S, Tavakoli S, Nikbakht H, et al. Central venous pressure catheter for large-volume paracentesis in refractory ascites[J]. Indian J Gastroenterol, 2014, 33(4): 310-315.
  • 7聂晚年,沈平,刘彩霞,敖翔.新型腹膜透析装置在抢救新生儿高钾血症中的应用[J].中国当代儿科杂志,2015,17(7):744-746. 被引量：6
  • 8Hakan N, Aydin M, Zenciroglu A, et al. Acute peritoneal dialysis in the newborn period: a 7-year single-center experience at tertiary neonatal intensive care unit in Turkey[J]. Am J Perinatol, 2014, 31(4): 335-338.
  • 9Goldstein SL. Advances in pediatric renal replacement therapy for acute kidney injury[J]. Semin Dial, 2011, 24(2): 187-191.
  • 10Stojanovic V, Bukarica S, Doronjski A, et al. Peritoneal dialysis in neonates with extremely low body weight at birth: new modality of using IV cannula for peritoneal access[J]. Iran J Pediatr, 2013, 23(6): 718-720.

二级参考文献23

  • 1王同建,乔彬,张锋泉,宁岩松,吴莉莉,王春艳,朱萌.新生儿复杂先天性心脏病术后处理[J].实用医药杂志,2006,23(1):16-18. 被引量：8
  • 2宁岩松,乔彬,王同建,张峰泉,吴莉莉,朱萌.新生儿重症先天性心脏病术后腹膜透析[J].中华小儿外科杂志,2006,27(5):272-273. 被引量：5
  • 3Mishra J, Dent C, Tarabishi R, et al. Neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker for acute renal injury after cardiac surgery. Lancet, 2005,365:1231 - 1238.
  • 4Brown KL, Ridout DA, Goldman AP, et al. Risk factors for long intensive care unit stay after cardiopulmonary bypass in children. Crit Care Med, 2003,31:28 - 33.
  • 5Baskin E, Saygili A, Harmanci K, et al. Acute renal failure and mortality after open-heart surgery in infants. Renal Failure, 2005, 27:557- 560.
  • 6Dittrich S, Dahnert 1, Vogel M, et al. Peritoneal dialysis after infant open heat surgery: observations in 27 patients. Ann Thorac Surg, 1999,68: 160- 163.
  • 7Gaudino M, Luciani N, Giungi S, et al. Different profiles of patients who require dialysis after cardiac surgery. Ann Thora Surg, 2005, 79: 825 - 829.
  • 8Chan KL, Ip P, Chiu CS, et al. Peritoneal dialysis after surgery for congenital heart disease in infants and young children. Ann Thorac Surg,2003, 76:1443 - 1449.
  • 9Boigner H,Brannath W, Hermon M,et al. Predictors of mortality at initiation of peritoneal dialysis in children after cardiac surgery. Ann Thorac Surg,2004,77:61 - 65.
  • 10Dittrich S, Vogel M, Dahnert I, et al. Acute hemodynamic effects of post cardiotomy peritoneal dialysis in neonates and infants. Intensive Care Med, 2000,26:101 - 104.

共引文献15

同被引文献46

引证文献9

二级引证文献16

中国当代儿科杂志
2015年 第8期

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