心脏术后低排综合征致急性肾功能衰竭的腹膜透析治疗  

Peritoneal dialysis for acute renal failure resulted from low output syndrome after cardiac surgery

作　　者：李如恒[1] 杨周灼[1] 杨小慧[2] 杨满青[2] 

机构地区：[1]广东省人民医院肾内科,广州510080 [2]广东省人民医院肾心内复苏室,广州510080

出　　处：《中华肾脏病杂志》1999年第5期314-316,共3页Chinese Journal of Nephrology

摘　　要：目的　探讨腹膜透析对心脏术后低排综合征 (LOS)致急性肾功能衰竭 (ARF)的疗效。方法　 2 4例心脏术后引起LOS合并多脏器功能衰竭 (MSOF)致ARF者 ,因不适合血液透析 (HD) ,于确诊后 2 4小时内进行腹膜透析 (PD)治疗。结果　 12例患者多脏器严重衰竭死亡 ,9例患者PD 3～30天内肾功能恢复 ,3例治疗后病情好转 ,自动出院。结论　心脏术后LOS致MOSF合并有ARF者 ,PD具有较好的治疗效果。Objective To evaluate the therapeutic effect of peritoneal dialysis for acute renal failure resulted from low output syndrome after cardiac surgery.Methods 24 cases of acute renal failure( ARF) with multiple system organ failure (MSOF) resulted from low output syndrome ( LOS)after cardiac surgery,who were not suitable for hemodialysis (HD), were given peritoneal dialysis (PD)within 24 hours after diagnosis.Results 12 patients died from severe multiple organ failure, 9 patients recovered within 3 to 30 days of PD, 3 patients discharged voluntarily during therapy.Conclusion PD shows a relatively good therapeutic effect for ARF complicated with MSOF resulted from LOS after cardiac surgery.

关 键 词：腹膜透析 肾功能衰竭 低排综合征 

分 类 号：R692.505[医药卫生—泌尿科学] R459.5[医药卫生—外科学]