中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2013年
10期
588-590
,共3页
心脏缺损,先天性%腹膜透析%急性肾功能不全%婴儿%儿童
心髒缺損,先天性%腹膜透析%急性腎功能不全%嬰兒%兒童
심장결손,선천성%복막투석%급성신공능불전%영인%인동
Heart diseases,congenital%Peritoneal dialysis%Acute renal insufficiency%Infant%Children
目的 回顾性分析30例婴幼儿复杂先天性心脏病术后合并急性肾功能不全行腹膜透析治疗的资料,总结腹膜透析治疗婴幼儿复杂先心病术后合并肾功能不全的临床经验.方法 分析2010年1月至2012年6月,30例复杂先天性心脏病术后合并急性肾功能不全行腹膜透析治疗患婴(儿)的的临床资料,男23例,女7例；年龄7天～18个月,平均(8.28±5.17)个月；体质量2.5 ～14.0 kg,平均(5.15 ±3.89) kg.7例因少尿(每小时尿量＜1ml/kg,持续时间＞4h)、组织水肿行腹膜透析,23例因无尿行腹膜透析.结果 死亡2例,1例完全型肺静脉异位引流患儿因左心室小、左心衰竭而死亡,1例完全型大动脉转位因多器官功能衰竭而死亡；28例(93.33％)治愈.结论 腹膜透析操作简单方便、安全性高、费用低,治疗复杂先天性心脏病术后合并急性肾功能衰竭患婴(儿)的疗效肯定.
目的 迴顧性分析30例嬰幼兒複雜先天性心髒病術後閤併急性腎功能不全行腹膜透析治療的資料,總結腹膜透析治療嬰幼兒複雜先心病術後閤併腎功能不全的臨床經驗.方法 分析2010年1月至2012年6月,30例複雜先天性心髒病術後閤併急性腎功能不全行腹膜透析治療患嬰(兒)的的臨床資料,男23例,女7例；年齡7天～18箇月,平均(8.28±5.17)箇月；體質量2.5 ～14.0 kg,平均(5.15 ±3.89) kg.7例因少尿(每小時尿量＜1ml/kg,持續時間＞4h)、組織水腫行腹膜透析,23例因無尿行腹膜透析.結果 死亡2例,1例完全型肺靜脈異位引流患兒因左心室小、左心衰竭而死亡,1例完全型大動脈轉位因多器官功能衰竭而死亡；28例(93.33％)治愈.結論 腹膜透析操作簡單方便、安全性高、費用低,治療複雜先天性心髒病術後閤併急性腎功能衰竭患嬰(兒)的療效肯定.
목적 회고성분석30례영유인복잡선천성심장병술후합병급성신공능불전행복막투석치료적자료,총결복막투석치료영유인복잡선심병술후합병신공능불전적림상경험.방법 분석2010년1월지2012년6월,30례복잡선천성심장병술후합병급성신공능불전행복막투석치료환영(인)적적림상자료,남23례,녀7례；년령7천～18개월,평균(8.28±5.17)개월；체질량2.5 ～14.0 kg,평균(5.15 ±3.89) kg.7례인소뇨(매소시뇨량＜1ml/kg,지속시간＞4h)、조직수종행복막투석,23례인무뇨행복막투석.결과 사망2례,1례완전형폐정맥이위인류환인인좌심실소、좌심쇠갈이사망,1례완전형대동맥전위인다기관공능쇠갈이사망；28례(93.33％)치유.결론 복막투석조작간단방편、안전성고、비용저,치료복잡선천성심장병술후합병급성신공능쇠갈환영(인)적료효긍정.
Objective To analyse peritoneal dialysis(PD) in 30 infants and children with acute renal insufficiency after complex congenital heart disease surgery,sum up the clinical experience of PD therapy infants and children with acute renal insufficiency after complex congenital heart disease surgery.Methods The clinical records of 30 infants and children during January 2010 to June 2012 were analysed retrospectively,with 23 male and 7 female,aged from 7 days to 18 months[average (8.28 ± 5.17) months],weight 2.5-14 kg[average (5.15 ± 3.89) kg].The reasons for PD:7 cases because of oliguria (urine ＜ 1 ml · h-1 · kg-1,duration ＞ 4 h) and the other 23 cases because of anuria.Results One case with total anomalous pulmonary venous connection(TAPVC) died of left heart failure,1 case with transposition of the great arteries died of multiple organ failure,and the other 28 cases were all cured,cure rate 93.33％.Conclusion PD is easy,safe and low-cost,has definite curative effect in infants and children with acute renal insufficiency after complex congenital heart disease surgery,worth to popularize.
