Effect of peritoneal dialysis in the treatment of children with burns complicated with acute renal failure
10.3760/cma.j.issn.1008-6706.2018.02.022
- VernacularTitle:腹膜透析治疗小儿烧伤并发急性肾功能衰竭的临床观察
- Author:
Jie JIN
1
;
Yuanjun HE
;
Congjiao JIANG
Author Information
1. 浙江衢化医院肾内科
- Keywords:
Peritoneal dialysis;
continuous ambulatory;
Acute kidney injury;
Burns;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(2):217-220
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of peritoneal dialysis in the treatment of acute renal failure in children with burns ,and to summarize the experience of treatment .Methods The clinical data of 9 children with burns complicated with acute renal failure who received peritoneal dialysis were retrospectively analyzed . Results On the basis of rehydration and anti -infective therapy , 9 patients underwent continuous bed peritoneal dialysis(CAPD) treatment.The average duration of peritoneal dialysis was 11 days.The average hospital stay was 33 days.The levels of blood urea nitrogen and creatinine were (17.69 ±6.01)mmol/L,(412.21 ±188.74)μmol/L at 5 days after peritoneal dialysis,and the levels of blood urea nitrogen and creatinine were (35.24 ±8.35)mmol/L, (801.23 ±298.15)μmol/L before the peritoneal dialysis,the differences were statistically significant (t =5.12, 3.31,all P<0.01).The levels of blood urea nitrogen and creatinine were (9.76 ±3.37) mmol/L,(168.48 ± 112.25)μmol/L at 10 days after peritoneal dialysis,there were significant improvements compared with 5 days after peritoneal dialysis(t=3.45,3.33,all P<0.01).The symptoms of uremia disappeared or improved obviously ,and the complications of peritoneal dialysis were not obvious .Conclusion Pediatric burns with acute renal failure with dialysis indications preferred peritoneal dialysis treatment ,in the course of treatment should take into account the ade-quacy of dialysis and children with the development of individualized programs .
