腹膜透析治疗婴幼儿复杂先天性心脏病术后急性肾功能不全30例  

Peritoneal dialysis in 30 infants and children with acute renal insufficiency after complex congenital heart disease sur- gery

作　　者：卢琳[1] 吴锡阶[1] 陈良万[1] 

机构地区：[1]福建医科大学附属协和医院心外科,福州350001

出　　处：《中华胸心血管外科杂志》2013年第10期588-590,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：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2．5-14．0kg，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。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 in- sufficiency 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 -1. 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 anoma- lous pulmonary venous connection（ TAPVC ） died of left heart failure, 1 case with transposition of the great arteries died of mul- tiple 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.

关 键 词：心脏缺损 先天性 腹膜透析 急性肾功能不全 婴儿 儿童 

分 类 号：R726.5[医药卫生—儿科]