论文部分内容阅读
目的 :探讨连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)在小儿心脏术后急性肾衰竭(acute reualfailure,ARF)中应用的安全性和有效性。方法:对1例1岁8个月小儿行先天性心脏病术后出现急性肾衰等并发症,及时进行CRRT治疗,每天8~12 h,共治疗4 d,观察疗效。结果:治疗后患儿苏醒,肾功能恢复,酸中毒纠正,电解质维持正常,尿量恢复正常,痊愈出院。结论:CRRT是治疗小儿心脏术后ARF的一种安全有效的方法,为重症儿科疾病开辟了新的治疗前景,在儿科有较大的推广、应用价值。
Objective: To investigate the safety and efficacy of continuous renal replacement therapy (CRRT) in the treatment of acute renal failure (ARF) after pediatric cardiac surgery. Methods: One case of 1-year-old and 8-month-old children underwent congenital heart disease after acute renal failure and other complications, timely CRRT treatment, daily 8 ~ 12 h, a total of 4 d treatment, observe the effect. Results: After treatment, the children recovered, renal function recovered, acidosis corrected, electrolytes remained normal, urine output returned to normal, recovered and discharged. Conclusion: CRRT is a safe and effective method for the treatment of ARF after pediatric cardiac surgery. It has opened a new therapeutic prospect for severe pediatric diseases and has great promotion and application value in pediatrics.