| PERITONEAL DIALYSIS AFTER REPAIR OF CONGENITAL HEART DISEASE IN CHILDREN |
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| 引用本文： | 罗新锦,许建屏,沈向东,陈霞. PERITONEAL DIALYSIS AFTER REPAIR OF CONGENITAL HEART DISEASE IN CHILDREN[J]. 中国医学科学杂志(英文版), 2003, 18(2): 100-104 |
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| 作者姓名： | 罗新锦 许建屏 沈向东 陈霞 |
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| 作者单位： | Department of Cardiovascular Surgery，Fu Wai Hospital，CAMS & PUMC，Beijing 100730，Department of Cardiovascular Surgery，Fu Wai Hospital，CAMS & PUMC，Beijing 100730，Department of Cardiovascular Surgery，Fu Wai Hospital，CAMS & PUMC，Beijing 100730，Department of Cardiovascular Surgery，Fu Wai Hospital，CAMS & PUMC，Beijing 100730 |
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| 摘 要： | Objective. To investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation.Methods. From July to Dec. 2000, 12(2.08%) patients of 576 consecutive children who underwent heart operation required peritoneal dialysis because of acute renal failure. The mean age of these 12 patients was (2.9-2.0) years (range, 5 months-7 years) and the mean body weight was (12+3) kg (range, 7.4-18.5 kg ).Results. The interval between the operation and the initiation of peritoneal dialysis was (21.2+11.4) hours (4.4-42 hours). The duration of peritoneal dialysis was (6.3+4.8) days (0.47-15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was(34.7+17.8) ml . kg-1 . day-1. Asymop-tomatic hypokalemia, thrombocytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period.Conclusion. The early initiation of peritoneal dialysis is an effective and safe
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PERITONEAL DIALYSIS AFTER REPAIR OF CONGENITAL HEART DISEASE IN CHILDREN |
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| Luo Xinjin Xu JianpingShen Xiangdong and Chen Xia. PERITONEAL DIALYSIS AFTER REPAIR OF CONGENITAL HEART DISEASE IN CHILDREN[J]. Chinese medical sciences journal, 2003, 18(2): 100-104 |
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| Authors: | Luo Xinjin Xu JianpingShen Xiangdong and Chen Xia |
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| Affiliation: | Department of Cardiovascular Surgery, Fu Wai Hospital, CAMS & PUMC, Beijing 100037. |
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| Abstract: | Objective. To investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation.Methods. From July to Dec. 2000, 12(2.08%) patients of 576 consecutive children who underwent heart operation required peritoneal dialysis because of acute renal failure. The mean age of these 12 patients was (2.9-2.0) years (range, 5 months-7 years) and the mean body weight was (12+3) kg (range, 7.4-18.5 kg ).Results. The interval between the operation and the initiation of peritoneal dialysis was (21.2+11.4) hours (4.4-42 hours). The duration of peritoneal dialysis was (6.3+4.8) days (0.47-15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was(34.7+17.8) ml . kg-1 . day-1. Asymop-tomatic hypokalemia, thrombocytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period.Conclusion. The early initiation of peritoneal dialysis is an effective and safe method to treat acute renal failure after cardiac operation in children. |
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| Keywords: | cardiac surgery peritoneal dialysis |
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