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目的观察腹膜透析(PD)对复杂先心病术后急性肾衰(ARF)患儿的临床疗效。方法对5例复杂先心病术后出现ARF患儿实施PD,观察治疗前后K+、肌苷(Cr)、尿素氮(BUN)及HCO3-等的变化。结果经PD治疗2～10d患儿全部存活,PD48h后与PD前相比,各项观察指标均具有统计学差异(P<0.05),PD结束后除BUN和平均动脉压(MAP)外,其他观察指标均具有显著性差异(P<0.01),纠正酸中毒和高钾血症效果优于Cr和BUN的清除。结论 PD是治疗小儿复杂先心病术后ARF有效方法,尽早PD是治疗成功关键。
Objective To observe the clinical effect of peritoneal dialysis (PD) on children with acute renal failure (ARF) after complicated congenital heart disease. Methods PD was performed in 5 children with ARF after complicated congenital heart disease (CHD). The changes of K +, creatinine (Cr), blood urea nitrogen (BUN) and HCO3- before and after treatment were observed. Results All the patients survived 2 ~ 10 days after PD treatment. Compared with the pre-PD, all the indexes had statistical significance (P <0.05). After PD, the mean arterial pressure (MAP) Observed indicators were significantly different (P <0.01), correct acidosis and hyperkalemia than Cr and BUN clearance effect. Conclusions PD is an effective method for the treatment of ARF after complicated congenital heart disease in children. As soon as possible, PD is the key to successful treatment.