CAJ | 학술논문

目的：探讨腹膜透析（PD）治疗低龄小儿心脏术后急性肾功能不全的临床疗效。方法选取2009年3月至2013年5月在我院治疗的低龄小儿心脏术后急性肾功能不全患儿35例为研究对象，患儿均采用外科手术，放置腹膜透析管。在术后4～8 h内开始PD治疗，同时采用强心利尿、呼吸支持等综合治疗。结果治疗后0～6 h、7～12 h与治疗前各观察指标比较，差异均有统计学意义（均P＜0.05）。35例患儿中，治愈32例，治愈率为91.4%，病死3例。结论低龄小儿心脏术后并发急性肾功能不全患儿应用腹膜透析的方式予以治疗，不仅可及时稳定患儿病情，还能减轻患儿痛苦。
목적：탐토복막투석（PD）치료저령소인심장술후급성신공능불전적림상료효。방법선취2009년3월지2013년5월재아원치료적저령소인심장술후급성신공능불전환인35례위연구대상，환인균채용외과수술，방치복막투석관。재술후4～8 h내개시PD치료，동시채용강심이뇨、호흡지지등종합치료。결과치료후0～6 h、7～12 h여치료전각관찰지표비교，차이균유통계학의의（균P＜0.05）。35례환인중，치유32례，치유솔위91.4%，병사3례。결론저령소인심장술후병발급성신공능불전환인응용복막투석적방식여이치료，불부가급시은정환인병정，환능감경환인통고。
Objective To investigate the peritoneal dialysis(PD)clinical curative effect in the treatment of acute renal insufficiency in children after cardiac surgery.Methods From 2009 March to 2013 May in our hospital treatment of children after cardiac surgery in children with acute renal insufficiency in 35 cases as the research object,and al patients were treated by surgical operation,the placement of peritoneal dialysis catheter. After 4~8 h in the beginning PD treatment,at the same time,with the strong heart diuresis,respiratory support and other comprehensive treatment. Results After the treatment of 0~6 h,7~12 h and the observation of the index before treatment,the difference was statisticaly significant(P<0.05).In 35 cases,32 cases were cured,the cure rate was 91.4%,3 cases of death. Conclusion Children after cardiac surgery complicated by acute renal insufficiency in application of peritoneal dialysis way to treatment,not only can timely stability in children with the disease,also can reduce the pain of patients.