| 腹膜透析治疗小儿先天性心脏病术后急性肾功能衰竭 |
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| 引用本文： | 赵枫 叶志斌. 腹膜透析治疗小儿先天性心脏病术后急性肾功能衰竭[J]. 第二军医大学学报, 2000, 21(11): 1041-1043 |
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| 作者姓名： | 赵枫 叶志斌 |
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| 作者单位： | [1]第二军医大学长海医院胸心外科,上海 [2]肾内科,上海 |
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| 基金项目： | 国家自然科学基金资助项目 ( 3 92 70 3 4 5 ) |
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| 摘 要： | 目的：探讨腹膜透析（ＰＤ）对小儿先天性心脏病（先心病）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ＰＤ治疗患儿的临床资料作回顾性调查。结果：全组经ＰＤ治疗后的病死率为３０．６％，其中单纯ＡＲＦ的病死率１２．５％，显著低于合并其他系统器官衰竭组的４５％（Ｐ〈０．０５）。ＰＤ３～３０ｄ内肾功能恢复，其中１～２ｄ内血Ｋ＾＋恢复正常，２～５ｄ内血碳酸氢根（ＨＣＯ３＾－）恢复正常，４～６ｄ内血尿素氮下降４９．２％，血肌酐下降４２．６％。结论：对小儿先心病术后ＡＲＦ及早进行ＰＤ具有较好的治疗效果。
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| 关 键 词： | 腹膜透析 先天性心脏病 急性肾功能衰竭 儿童 |
| 文章编号： | 0258-879X(2000)11-1041-03 |
| 修稿时间： | 2000-08-28 |
Peritoneal dialysis for acute renal failure following cardiac surgery of children with congenital heart disease |
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| ZHAO Feng ,MEI Ju ,XU Zhi Yun ,YU Wei Yong ,ZHANG Bao Ren ,YE Zhi Bin ,YUAN Wei Jie. Peritoneal dialysis for acute renal failure following cardiac surgery of children with congenital heart disease[J]. Former Academic Journal of Second Military Medical University, 2000, 21(11): 1041-1043 |
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| Authors: | ZHAO Feng MEI Ju XU Zhi Yun YU Wei Yong ZHANG Bao Ren YE Zhi Bin YUAN Wei Jie |
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| Affiliation: | ZHAO Feng 1,MEI Ju 1,XU Zhi Yun 1,YU Wei Yong 1,ZHANG Bao Ren 1,YE Zhi Bin 2,YUAN Wei Jie 2 |
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| Abstract: | Objective: To evaluate the therapeutic effect of peritoneal dialysis(PD) for acute renal failure following cardiac surgery in children with congenital heart disease. Methods: Retrospective data from 36 children with ARF who underwent cardiac surgery were analyzed. Results: Case fatality rate was 30.6% in patients undergoing PD, and 12.5% in patients with pure ARF, both significantly lower than that in those associated with other failing organs (45%, P <0.05). Patients recovered within 3 to 30 days of PD,whose blood potassium declined to normal within 1 2 days, (HCO 3 -)declined to normal within 2 5 days, BUN and Cr declined by 49.2% and 42.6% respectively within 4 6 days of PD. Conclusion: PD has a good therapeutic effect for ARF following cardiac surgery in children with congenital heart disease. [ |
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| Keywords: | peritoneal dialysis congenital heart disease acute renal failure |
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