慢性肾脏病婴幼儿经皮内镜下胃造口术的临床应用3例  

Application of percutaneous endoscopic gastrostomy in three infants with chronic kidney disease

作　　者：方晓燕 唐子斐 华海梅[3] 周清 陈径 翟亦晖 缪千帆 汤小山 徐虹 沈茜 Fang Xiaoyan;Tang Zifei;Hua Haimei;Zhou Qing;Chen Jing;Zhai Yihui;Miao Qianfan;Tang Xiaoshan;Xu Hong;Shen Qian(Department of Nephrology,Children's Hospital of Fudan University,Shanghai Kidney Development&Pediatric Kidney Disease Research Center,Shanghai 201102,China;Department of Gastroenterology,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Nutriology,Children's Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院肾脏科、上海市肾脏发育和儿童肾脏病研究中心,上海201102 [2]复旦大学附属儿科医院消化科,上海201102 [3]复旦大学附属儿科医院营养科,上海201102

出　　处：《中华肾脏病杂志》2023年第8期620-623,共4页Chinese Journal of Nephrology

摘　　要：该文总结3例慢性肾脏病婴幼儿应用经皮内镜下胃造口术(percutaneous endoscopic gastrostomy,PEG)的相关临床及随访资料,探索应用PEG改善患儿生长发育及营养状况的安全性、可行性。随访中病例1和病例3的体重、身高均有明显改善;病例2随访3个月时因心搏骤停死亡,身高、体重无明显改善。3例患儿在PEG后血清白蛋白和前白蛋白均较术前改善,治疗期间均未发生PEG相关感染。The paper summarizes the clinical and follow-up data of percutaneous endoscopic gastrostomy(PEG)in three infants with chronic kidney disease to explore the safety and reliability of using PEG to improve the growth and development,and nutritional status.During follow-up,the weight and height of case 1 and 3 were obviously improved.Case 2 was followed up for 3 months,due to dying of cardiac arrest,and the infant's height and weight were not significantly improved.Serum albumin and prealbumin improved in 3 cases after PEG.No PEG-related infection occurred in 3 infants.

关 键 词：胃造口术 婴儿 肾功能不全 慢性 

分 类 号：R726.9[医药卫生—儿科]