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目的 :探讨腹膜透析 (PD)对小儿先天性心脏病 (先心病 )术后急性肾功能衰竭 (ARF)的治疗效果。方法 :对 36例先心病术后 ARF行 PD治疗患儿的临床资料作回顾性调查。 结果 :全组经 PD治疗后的病死率为 30 .6 % ,其中单纯 ARF的病死率 12 .5 % ,显著低于合并其他系统器官衰竭组的 45 % (P<0 .0 5 )。PD3～ 30 d内肾功能恢复 ,其中 1～ 2 d内血 K+恢复正常 ,2～ 5 d内血碳酸氢根 (HCO3- )恢复正常 ,4～ 6 d内血尿素氮下降 49.2 % ,血肌酐下降 42 .6 %。 结论 :对小儿先心病术后ARF及早进行 PD具有较好的治疗效果。
Objective: To investigate the therapeutic effect of peritoneal dialysis (PD) on children with acute renal failure (ARF) after congenital heart disease (CHD). Methods: A retrospective investigation was performed on the clinical data of 36 children with ARF treated with PD undergoing cardiac surgery. Results: The overall mortality after PD treatment was 30.6%. The mortality of ARF alone was 12.5%, which was significantly lower than 45% (P <0.05) of those with other systemic organ failure. During 3 ~ 30 d of PD, renal function recovered, blood K + returned to normal within 1 ~ 2 d, returned to normal after 2 ~ 5 d, blood urea nitrogen decreased 49.2% within 4 ~ 6 d, serum creatinine Down 42.6%. Conclusion: ARF as early as PD in children with CHD has better therapeutic effect.