The application of peritoneal dialysis ( PD ) in the children with complex congenital heart disease after surgery
10.3760/cma.j.issn.1008-6706.2012.11.005
- VernacularTitle:腹膜透析时机对先天性心脏病患者术后临床效果的影响
- Author:
Linbao LIANG
;
Guodong CHENG
;
Guosheng LIN
;
Chunlei ZHU
- Publication Type:Journal Article
- Keywords:
Peritoneal dialysis;
Heart disease
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(11):1609-1610
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of peritoneal dialysis(PD) in the children with complex congenital heart disease after surgery.Methods 65 children with complex congenital heart disease were divided into group A(33 cases) and group B(32 cases).Group A was given PD when diuretics or urine output was less than 0.5ml per hour,while group B was given PD when urine output was less than 0.5ml per hour after 6h.The survival effect and indicators of PD before and after treatment were observed.Results The effective rate of group A (84.85％ ) was significantly better than group B ( 53.12％ ) ( x2 =5.18,P ＜ 0.05 ).The fatality rate of group A (9.09％ ) was significantly lower than group B ( 18.75％ ) ( x2 =5.32,P ＜ 0.05 ).The renal function was significantly improved.Urine output increased to the normal level,serum potassium,blood urea nitrogen,serum creatinine concentration were effectively controlled,the changes of indicators had significant differences before and after PD (t =5.22,3.46,46,4.89,4.77,all P ＜ 0.05).Conclusion PD was an effective support method for heart,renal insufficiency after the surgery of complex congenital heart disease,and it had good clinical effect for early application.
