Step sequential therapy in rescuing infantile postrenal acute renal renal failure induced by melamine
- VernacularTitle:阶梯序贯疗法救治三聚氰胺致婴幼儿肾后性急性肾功能衰竭
- Author:
Geng MA
;
Wenliang YU
;
Yongji DENG
;
Xuhua GE
;
Zheng GE
;
Yong LIU
;
Rugang LU
;
Shaodong ZHAO
;
Dongmei CHEN
- Publication Type:Journal Article
- Keywords:
Melamine;
Acute renalfailure(ARt);
Postrenal;
Child
- From:
Chinese Journal of Emergency Medicine
2008;17(12):1241-1244
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical characteristics and emergency managements of postrenal acute renal failure(ARV)induced by melamine in infant.Method Fluid therapy for urine alkalization and hydration,cistoscope drainage and peritoneal dialysis step by step were exerted in those who had both a history of certain milk intake and ARF according to the definition of pediatric ARF which developed by Pediatric Nephrology Assembly of Chinese Pediatric Association in 1994.Results Thirty-four postrenal ARF cases with anuria due to melamine in Nanjing Children's Hospital of Nanjing Medical University were involved in the study.Seventy cases(50%)re-ceived fluid therapy only.Nine cases(26.5%)received fluid thempy and eistoscope drainagemand 4 cases (11.8%)received fluid therapy and cistoscope drainage and peritoneal dialysis.Four cases(11.8%)received ur-gent peritoneal dialysis due to severe hyperkalemia.All cases(100%)survived.The urine pH at the first day.the second day,and after the second day in those who just pass away urine were 6.1±1.0、6.5±0.7.5.3±0.4,respectively(F=4.563,P=0.026).Conclusions Fluid therapy for urine alkalization and hydration and stop sequential thempy are effective in infant with postrenal ARF induced by melamine.
