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目的探讨腹膜透析对急性肾损伤的疗效分析。方法将28例确诊为急性肾损伤的患者,均采用Tenckhoff氏导管手术切开腹壁插管法,对患者临床资料进行回顾性分析。结果本组28例患者中治愈16例(51.14%),继续腹膜透析2例(7.14%),死亡10例(35.71%)。腹膜透析平均2~30d肾功能恢复。经透析治疗后,高钾血症迅速纠正,高血压及急性心衰、尿毒症症状明显好转,血液生化检查尿素氮(BUN)由透析前平均10.26mmol/L降至16.1mmol/L,血肌酐(SCr)由透析前平均1 529μmol/L降至851μmol/L。结论腹膜透析对于急性肾损伤的治疗具有简单易行、无需特殊设备、无需抗凝、对血流动力学影响小、治疗费用较低等优点,值得一线临床推广。
Objective To investigate the effect of peritoneal dialysis on acute renal injury. Methods Twenty-eight patients diagnosed as acute renal injury were treated with Tenckhoff catheterization and abdominal incision. The clinical data of the patients were retrospectively analyzed. Results In the 28 cases, 16 cases were cured (51.14%). Peritoneal dialysis continued in 2 cases (7.14%) and death in 10 cases (35.71%). Peritoneal dialysis on average 2 ~ 30d renal function recovery. After dialysis treatment, hyperkalemia quickly corrected, hypertension and acute heart failure, uremia symptoms improved significantly, blood urea nitrogen (BUN) decreased from an average of 10.26mmol / L before dialysis to 16.1mmol / L, serum creatinine (SCr) dropped from an average of 1 529 μmol / L before dialysis to 851 μmol / L. Conclusion peritoneal dialysis for the treatment of acute kidney injury is simple and easy, without special equipment, without anticoagulation, little effect on hemodynamics, low cost of treatment, etc., worth front-line clinical promotion.