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目的 为进一步探讨腹膜透析 (PD)在急性肾功能衰竭 (ARF)患者中的治疗作用。方法 采用PD技术治疗ARF 5 2例 ,其中并发急性肺水肿 2 9例 ( 5 5 8% )、高钾血症 32例 ( 6 1 5 % )、昏迷 16例 ( 30 7% )、多脏器功能衰竭(MOF) 6例 ( 11 5 % )、高分解ARF 3例。结果 46例患者肾功能恢复正常 ( 88 5 % )。结论 PD不需要特殊设备 ,技术简单 ,安全可靠 ,不仅适用于无并发症的ARF患者 ,而且也适用于并发急性肺水肿、高钾血症、脑水肿、MOF、高分解型ARF及幼儿患者。
Objective To further explore the therapeutic effect of peritoneal dialysis (PD) in patients with acute renal failure (ARF). Methods PD was used to treat 5 cases of ARF, including 29 cases (55.8%) with acute pulmonary edema, 32 cases (61.5%) with hyperkalemia, 16 cases (30.7%) with coma, multiple organ 6 cases (11 5%) with functional failure (MOF) and 3 cases with high-resolution ARF. Results The renal function of 46 patients returned to normal (88.5%). Conclusions PD does not require special equipment and is simple, safe and reliable. It is not only suitable for patients with ARF without complications, but also suitable for patients with acute pulmonary edema, hyperkalemia, cerebral edema, MOF, high resolution ARF and young children.