中华儿科杂志
中華兒科雜誌
중화인과잡지
Chinese Journal of Pediatrics
2013年
7期
491-494
,共4页
全国儿童常见肾脏病诊治现状调研工作组
全國兒童常見腎髒病診治現狀調研工作組
전국인동상견신장병진치현상조연공작조
肾功能衰竭,慢性%肾替代疗法%多中心研究%儿童
腎功能衰竭,慢性%腎替代療法%多中心研究%兒童
신공능쇠갈,만성%신체대요법%다중심연구%인동
Kidney failure,chronic%Renal replacement therapy%Multicenter study%Child
目的 调查我国2007年至2011年≤18岁住院患儿中慢性肾衰竭病例的肾脏替代治疗情况及转归.方法 制定统一的儿童慢性肾衰竭肾脏替代治疗现状调研表,分发至28家参研医院进行回顾性病例登记,进行相关资料统一汇总、分析.结果 2007年1月1日至2011年12月31日28间医院住院患儿确诊慢性肾衰竭1033例,474例患儿接受肾脏替代治疗,占45.9％.380例慢性肾衰竭患儿接受血液透析治疗,133例次出现急性并发症,占35.0％；119例次出现慢性并发症,占31.3％.177例患儿接受腹膜透析治疗,79例次出现并发症,占51.0％.47例患儿接受肾移植治疗,9例出现排斥反应.结论 我国儿童慢性肾衰竭肾脏替代治疗水平有较大提高,但发展不平衡.维持性透析仍以血液透析为主,腹膜透析发展较为滞后.儿童肾移植治疗仍在起步阶段.
目的 調查我國2007年至2011年≤18歲住院患兒中慢性腎衰竭病例的腎髒替代治療情況及轉歸.方法 製定統一的兒童慢性腎衰竭腎髒替代治療現狀調研錶,分髮至28傢參研醫院進行迴顧性病例登記,進行相關資料統一彙總、分析.結果 2007年1月1日至2011年12月31日28間醫院住院患兒確診慢性腎衰竭1033例,474例患兒接受腎髒替代治療,佔45.9％.380例慢性腎衰竭患兒接受血液透析治療,133例次齣現急性併髮癥,佔35.0％；119例次齣現慢性併髮癥,佔31.3％.177例患兒接受腹膜透析治療,79例次齣現併髮癥,佔51.0％.47例患兒接受腎移植治療,9例齣現排斥反應.結論 我國兒童慢性腎衰竭腎髒替代治療水平有較大提高,但髮展不平衡.維持性透析仍以血液透析為主,腹膜透析髮展較為滯後.兒童腎移植治療仍在起步階段.
목적 조사아국2007년지2011년≤18세주원환인중만성신쇠갈병례적신장체대치료정황급전귀.방법 제정통일적인동만성신쇠갈신장체대치료현상조연표,분발지28가삼연의원진행회고성병례등기,진행상관자료통일회총、분석.결과 2007년1월1일지2011년12월31일28간의원주원환인학진만성신쇠갈1033례,474례환인접수신장체대치료,점45.9％.380례만성신쇠갈환인접수혈액투석치료,133례차출현급성병발증,점35.0％；119례차출현만성병발증,점31.3％.177례환인접수복막투석치료,79례차출현병발증,점51.0％.47례환인접수신이식치료,9례출현배척반응.결론 아국인동만성신쇠갈신장체대치료수평유교대제고,단발전불평형.유지성투석잉이혈액투석위주,복막투석발전교위체후.인동신이식치료잉재기보계단.
Objective To investigate the renal replacement therapy and outcome of chronic renal failure (CRF) in childhood,a nation-wide survey was conducted and data of hospitalized children (younger than 18 years old) with CRF during the period of 2007 to 2011 were analyzed.Method Questionnaires of renal replacement therapy of patients with CRF in childhood were designed and distributed to 28 hospitals in China.The data were collected and analyzed.Result There were 1033 hospitalized children with CRF from January 1,2007 to December 31,2011 in 28 hospitals.There were 474 patients (45.9％) received renal replacement therapy.Hemodialyses were given to 380 patients; 133 patients (35.0％) got acute complications with hemodialysis and 119 patients (31.3％) got chronic complications.Peritoneal dialysis were given to 177 patients and 79 patients got complications.Forty patients received renal transplantation and 9 patients got rejections.Conclusion Renal replacement therapy in CRF in childhood has been improved but there is imbalance in China.Hemodialysis is the common way in maintenance dialysis and peritoneal dialysis is still underdeveloped.Renal transplantation in children is in the early stages.
