CAJ | 학술논문

目的总结蜂蜇伤致急性肾损伤患儿的临床特征及血液透析治疗的效果。方法回顾性分析60例蜂蜇伤致急性肾损伤患儿的临床特征及实验室资料。结果急性肾损伤患儿透析后胱抑素C、血肌酐、尿素氮显著下降，同时降钙素原、超敏C反应蛋白、酸中毒和电解质紊乱等得到纠正或改善。60例患儿经过透析后45例临床治愈，13例明显好转出院，2例死亡。结论蜂蜇伤最容易致患儿急性肾损伤，血液透析是急性肾损伤有效的治疗措施，能积极的改善肾脏的功能，无明显的酸碱平衡及电解质紊乱等并发症。但患儿预后与急性肾损伤发病年龄，损伤程度，是否合并多脏器衰竭、诊治时机等密切相关。
목적총결봉철상치급성신손상환인적림상특정급혈액투석치료적효과。방법회고성분석60례봉철상치급성신손상환인적림상특정급실험실자료。결과급성신손상환인투석후광억소C、혈기항、뇨소담현저하강，동시강개소원、초민C반응단백、산중독화전해질문란등득도규정혹개선。60례환인경과투석후45례림상치유，13례명현호전출원，2례사망。결론봉철상최용역치환인급성신손상，혈액투석시급성신손상유효적치료조시，능적겁적개선신장적공능，무명현적산감평형급전해질문란등병발증。단환인예후여급성신손상발병년령，손상정도，시부합병다장기쇠갈、진치시궤등밀절상관。
Objective To summarize the clinical features of bee sting caused aute kidney injury in children and the effect of he-modialysis therapy .Methods 60 children cases of bee sting caused acute renal injury were performed the retrospective analysis on the clinical features and laboratory data .Results Cystatin C ,serum creatinine ,blood urea nitrogen in children patients with acute kidney injury after hemodialysis were significantly decreased ,while procalcitonin ,high-sensitivity C-reactive protein ,acidosis and e-lectrolyte imbalance also were corrected or improved .After hemodialysis in 60 children cases ,45 cases were clinically cured ,13 cases were significantly improved and discharged and 2 cases died .Conclusion Bee sting is most likely to result in children acute renal in-jury .Hemodialysis is safe and effective treatment measures for acute kidney injury ,can actively improve the renal function without significant complications of acid-base balance and electrolyte imbalance .But the prognosis is closely related with the onset age of the aute kidney injury ,injury severity ,where or not accompanied by MOF ,opportunity of diagnose and treatment ,etc .