Peritoneal dialysis after repair of congenital heart disease in children.
- Author:
Luo XINJIN
1
;
Xu JIANPING
;
Shen XIANGDONG
;
Chen XIA
Author Information
- Publication Type:Journal Article
- MeSH: Acute Kidney Injury; etiology; therapy; Child; Child, Preschool; Female; Heart Defects, Congenital; surgery; Humans; Infant; Male; Peritoneal Dialysis; Postoperative Complications
- From: Chinese Medical Sciences Journal 2003;18(2):100-104
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation.
METHODSFrom July to Dec. 2000, 12 (2.08%) patients of 576 consecutive children who underwent heart operation required peritoneal dialysis because of acute renal failure. The mean age of these 12 patients was (2.9+/-2.0) years (range, 5 months-7 years) and the mean body weight was (12+/-3) kg (range, 7.4-18.5 kg).
RESULTSThe interval between the operation and the initiation of peritoneal dialysis was (21.2+/-11.4) hours (4.4-42 hours). The duration of peritoneal dialysis was (6.3+/-4.8) days (0.47-15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was (34.7+/-17.8) ml x kg(-1) x day(-1). Asymoptomatic hypokalemia, thrombocytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period.
CONCLUSIONThe early initiation of peritoneal dialysis is an effective and safe method to treat acute renal failure after cardiac operation in children.
