PERITONEAL-DIALYSIS FOR ACUTE-RENAL-FAILURE IN CHILDREN

被引：50

作者：

REZNIK, VM

GRISWOLD, WR

PETERSON, BM

RODARTE, A

FERRIS, ME

MENDOZA, SA

机构：

[1] Department of Pediatrics, UCSD School of Medicine and Division of Critical Care, Children's Hospital and Health Center, San Diego, California

来源：

PEDIATRIC NEPHROLOGY | 1991年 / 5卷 / 06期

关键词：

PERITONEAL DIALYSIS; ACUTE RENAL FAILURE; MULTIORGAN SYSTEM FAILURE; PERITONEAL CATHETER; PEDIATRIC CARDIAC SURGERY;

D O I：

10.1007/BF00857882

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Fifty infants and children with acute renal failure were treated with acute peritoneal dialysis between 1987 and 1990. The patients were dialyzed using either a catheter introduced percutaneously over a guide-wire (n = 40) or a Tenckhoff catheter (n = 10). The cause of the acute renal failure was primary renal disease in 17 children, cardiac disease in 19, and trauma/sepsis in 14. Peritoneal dialysis succeeded in controlling metabolic abnormalities, improving fluid balance, and relieving the complications of uremia. The procedure had few major complications. Overall mortality was 50%, reflecting the serious nature of the underlying diseases. We conclude that acute peritoneal dialysis is a safe and effective treatment in most pediatric patients with acute renal failure. Our series of patients treated with acute peritoneal dialysis serves as a basis of comparison for the evaluation of new modalities of therapy in childhood acute renal failure.

引用

页码：715 / 717

页数：3

共 15 条

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