婴幼儿先天性心脏病术后腹膜透析并发症分析  

Complications of peritoneal dialysis in postoperative infants with congenital heart disease

作　　者：梁林宝[1] 程国栋[1] 朱春磊[1] 李小芳[1] 

机构地区：[1]高州市人民医院心外ICU,广东高州525200

出　　处：《岭南心血管病杂志》2013年第4期457-459,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的总结心外科婴幼儿先天性心脏病(先心病)术后腹膜透析的并发症以指导临床应用。方法回顾分析2010年6月至2012年6月在高州市人民医院院心外科行心脏手术的婴幼儿临床资料,其中41例患儿术后出现急性肾损伤或心功能不全,进行腹膜透析治疗。对腹膜透析相关并发症进行总结分析。结果大部分患儿肾功能渐恢复,腹膜透析时间(5.92±4.74)d,腹膜透析相关并发症12例,最常见是肺部并发症,腹膜透析相关并发症。经对症处理后均治愈,腹膜透析没有直接引起死亡事件。结论腹膜透析相关并发症少且不严重,在婴幼儿先心病术后发生急性肾损伤或心功能不全时可及早应用。Objectives To summarize the complications of peritoneal dialysis in postoperative infants with congenital heart disease （CHD）. Methods Clinical data of infants with CHD who received cardiac surgery from June 2010 to June 2012 in The People＇s Hospital of Gaozhou were retrospectively analyzed, There were 41 cases who had acute kidney injury or acute cardiac insufficiency after surgery. Peritoneal dialysis was performed and related complications were analyzed. Results Renal function in most infants were recovered gradually and duration of peritoneal dialysis was （5.92±4.74） days. Related complications of peritoneal dialysis occurred in 12 cases and the most common complication was pulmonary complications, All complications were cured without fatal complications. Conclusions Related complications of peritoneal dialysis are few and not serious. Early use of peritoneal dialysis is safe and effective when acute renal injury or cardiac insufficiency occurrs in postoperative infants with CHD.

关 键 词：腹膜透析 先天性心脏病 并发症 

分 类 号：R541.1[医药卫生—心血管疾病]