High-volume peritoneal dialysis rescues a severe influenza A child with multiple organ dysfunction syndrome
10.3760/cma.j.cn101070-20210225-00229
- VernacularTitle:应用高容量腹膜透析抢救合并多器官功能障碍综合征的重症甲型流感1例
- Author:
Yaxian CHEN
1
;
Shi HUANG
;
Linxia DENG
;
Yu ZHANG
;
Jianhua ZHOU
Author Information
1. 华中科技大学同济医学院附属同济医院儿科，武汉 430030
- Keywords:
High-volume peritoneal dialysis;
Acute kidney injury;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(11):864-866
- CountryChina
- Language:Chinese
-
Abstract:
A 3-year-old girl was hospitalized for cough and asthma for 2 days, and fever and anuria for 1 day in Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology in January 2019.Retrospective analysis was used.She developed end-stage renal disease and received peritoneal dialysis 6 months ago.After admission, she was diagnosed as acute-on-chronic renal failure, respiratory failure, heart failure, severe influenza A (H1N1). The patient was rapidly recovered by the management of high-volume peritoneal dialysis, mechanical ventilation, and medications of Peramivir and Methylprednisolone.Through literature review, case report or cohort study about the treatment of acute kidney disease by high-volume peritoneal dialysis has not been previously reported.This case report suggested that high-volume peritoneal dialysis is able to effectively remove solutes and control volume without causing severe hypoproteinemia and hyperglycemia, which may become an effective renal replacement therapy for children with multi-organ dysfunction syndrome.
