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目的探讨腹膜透析对先天性心脏病患儿术后急性肾功能衰竭的治疗效果。方法 :16例先天性心脏病心脏直视术后并发急性肾功能衰竭患儿行腹膜透析治疗,记录透析前、后血尿素氮、血清肌酐、血清K+及HCO3-浓度。结果腹膜透析1~3 d血钾恢复正常,3~6 d血HCO3-恢复正常,1~7 d尿量恢复正常,血肌酐及尿素氮下降明显;16例患儿均院内存活;透析期间出现腹透液外渗、引流不畅、低蛋白血症、血性腹腔积液等并发症,经及时处理后恢复正常。结论小儿先天性心脏病术后急性肾功能衰竭及时腹膜透析治疗可取得良好治疗效果。
Objective To investigate the therapeutic effect of peritoneal dialysis on postoperative acute renal failure in children with congenital heart disease. Methods: Peritoneal dialysis was performed in 16 children with congenital heart disease complicated with acute renal failure who underwent open heart surgery. Blood urea nitrogen, serum creatinine, serum K + and HCO3- concentrations were recorded before and after dialysis. Results The serum potassium levels returned to normal within 1-3 days after peritoneal dialysis. The levels of HCO3- returned to normal within 3-6 days, and the urine output returned to normal within 1 to 7 days. Serum creatinine and urea nitrogen decreased significantly. All 16 patients survived in hospital. Peritoneal fluid extravasation, poor drainage, hypoalbuminemia, bloody ascites and other complications, promptly returned to normal after treatment. Conclusion Children with congenital heart disease after acute renal failure and timely peritoneal dialysis treatment can achieve good therapeutic effect.