306例儿童血液净化的模式选择及疾病分布特点  

The Pattern Of Children's Blood Purification And Distribution Characteristics Of disease Of 306 Children With Blood Purification

作　　者：徐媛 董扬 徐达良 江家云 朱颖 柯瑞娟 方韶晗 彭寅 

机构地区：[1]安徽省儿童医院肾内科,安徽合肥230051

出　　处：《安徽卫生职业技术学院学报》2017年第2期136-137,156,共3页Journal of Anhui Health Vocational & Technical College

基　　金：安徽省卫生厅临床医学技术应用项目(编号:2008B075)

摘　　要：目的:了解儿童血液净化模式的选择及疾病分布特点。方法:收集306例血液净化患儿病例进行回顾性分析。结果:应用最多的模式是血液灌流(HP,165例,53.9%),其次是连续性血液净化(CBP,96例,31.4%),CBP+HP 29例,腹膜透析(PD)13例,免疫吸附(IA)、血浆置换(PE)及CBP+HP+PE各1例。急性中毒占首位(131例,42.8%),其次是肾脏疾病(93例,30.4%),血液净化有逐年增加的趋势。临床愈后,治愈224例(73.2%),好转48例(15.7%),死亡20例(6.5%),放弃治疗15例。结论:血液净化为儿童多种疾病提供了安全有效的治疗或辅助治疗,模式的选择应综合考虑患儿的原发病、临床状态、医院的设备条件和肾脏专业人员的训练。Objective：To investigate the pattern of children＇s blood purification and distribution characteristics of disease.Methods：306 children with blood purification were studied who were hospitalized in Hospital.Results：The most mode was hemoperfusion（HP,165,53.9% ）,followed by continuous blood purification （CBP,96,31.4%）,CBP＋HP 29 cases,13 cases of peritoneal dialysis （PD）,Immunoadsorption （IA）, plasma exchange （PE） and CBP ＋ HP ＋ PE Each 1 case.The most disease was acute poisoning （131,42.8%）, kidney disease（93,30.4%） followed by, blood purification is increasing year by year.Clinical prognostic, 220 cases （73.1%）cured, 47 cases （15.6%） got better, 20 cases died （6.6%）, 15 cases were automatic hospital discharge.Conclusion：Blood purification provide safe and effective treatment for children with a variety of diseases or adjuvant therapy, the model should be selected considering the patient＇s state of the primary disease, clinical and hospital equipment conditions and kidney professional personnel training.

关 键 词：血液净化 治疗模式 疾病分布 儿童 

分 类 号：R459.5[医药卫生—治疗学]