Application of Peritoneal Dialysis in Children of Congenital Heart Disease With Post-operative Acute Renal Insufficiency
10.3969/j.issn.1000-3614.2015.08.016
- VernacularTitle:腹膜透析在儿童先天性心脏病术后急性肾功能不全的应用
- Author:
Zhenjiang SONG
;
Xiaofeng LI
;
Song BAI
;
Lei SHEN
;
Yudong ZHAO
- Publication Type:Journal Article
- Keywords:
Acute renal insufifciency;
Peritoneal dialysis;
Electrolyte;
Congenital heart disease
- From:
Chinese Circulation Journal
2015;(8):781-784
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the effects of peritoneal dialysis on acute renal insufifciency and on relevant blood indicators in children with congenital heart disease (CHD) after the operation.
Methods: A total of 48 CHD patients received direct open heart surgery by cardiopulmonary bypass and suffered from post-operative acute renal insufifciency in our hospital from 2011-12 to 2014-12 were retrospectively analyzed. The patients were divided into 2 groups: Peritoneal dialysis group and Routine medication group,n=24 in each group. The differences of renal function indexes, the blood levels of electrolyte and inlfammatory factors were compared between 2 groups.
Results: Compared with Routine medication group, the patients in Peritoneal dialysis group presented decreased serum critinine, BUN and urine β2-micro globulin, 24-hour protein level,P<0.05; decreased blood K+ level and increased blood levels of Ca2+, HCO-3P<0.05; decreased plasma levels of hs-CRP, TNF-α, IL-6,P<0.05. The cure rate and mortality in Peritoneal dialysis group were better than those in Control group,P<0.05. No long term complication related to peritoneal dialysis was found.
Conclusion: Peritoneal dialysis may improve the renal function in CHD patients with post-operative acute renal insufifciency and optimize the blood levels of electrolyte and inlfammatory factors.
