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目的探讨腹膜透析(PD)治疗低龄小儿心脏术后急性肾功能不全的临床疗效。方法选取2009年3月至2013年5月在我院治疗的低龄小儿心脏术后急性肾功能不全患儿35例为研究对象,患儿均采用外科手术,放置腹膜透析管。在术后4~8 h内开始PD治疗,同时采用强心利尿、呼吸支持等综合治疗。结果治疗后0~6 h、7~12 h与治疗前各观察指标比较,差异均有统计学意义(均P<0.05)。35例患儿中,治愈32例,治愈率为91.4%,病死3例。结论低龄小儿心脏术后并发急性肾功能不全患儿应用腹膜透析的方式予以治疗,不仅可及时稳定患儿病情,还能减轻患儿痛苦。
Objective To investigate the clinical efficacy of peritoneal dialysis (PD) in the treatment of acute renal insufficiency in children younger than age. Methods From March 2009 to May 2013 in our hospital for treatment of young children with acute renal insufficiency after 35 cases of children with renal insufficiency as the research object, the children were treated with peritoneal dialysis tube. PD treatment started within 4 ~ 8 h after operation, and combined treatment of cardiac diuresis and respiratory support was used at the same time. Results There was significant difference between the observation indexes at 0 ~ 6 h, 7 ~ 12 h after treatment and before treatment (all P <0.05). Of the 35 children, 32 were cured, with a cure rate of 91.4% and 3 died. Conclusion The treatment of young children with acute renal insufficiency after percutaneous transluminal coronary angioplasty and peritoneal dialysis can not only stabilize the condition of infants in a timely manner, but also relieve the pain of infants.