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儿童急性肾衰竭透析疗法比较
引用本文:陈植,焦莉平,刘小荣,张桂菊,沈颖. 儿童急性肾衰竭透析疗法比较[J]. 中国小儿急救医学, 2004, 11(6): 371-373
作者姓名:陈植  焦莉平  刘小荣  张桂菊  沈颖
作者单位:首都医科大学附属北京儿童医院内科,北京,100045
摘    要:目的 为探讨儿童急性肾衰竭透析疗法效果 ,对我院腹膜透析和血液透析情况进行比较。方法 总结 1994年至 2 0 0 2年在我院行PD或HD的急性肾衰竭患儿的临床资料。结果 PD与HD改善肾功能、电解质紊乱和酸中毒的近期效果无显著性差异 (P >0 0 5 ) ,但HD组的肾功能、电解质和HCO3 -复常时间短于PD组 (P <0 0 5 )。结论 HD奏效快 ,ARF患儿病情紧急或合并多脏器衰竭时选用HD较适合 ,小年龄儿童HD治疗亦有可行性。但PD与HD对于改善肾功能、电解质紊乱和酸中毒同样有效 ,且适合基层医院开展

关 键 词:急性肾衰竭  腹膜透析  血液透析
文章编号:1007-9459(2004)-06-0371-03
修稿时间:2004-07-05

Comparison PD with HO on children with acute renal failure
CHEN Zhi,JIAO Li-ping,LIU Xiao-rong,et al.. Comparison PD with HO on children with acute renal failure[J]. Chinese Pediatric Emergency Medicine, 2004, 11(6): 371-373
Authors:CHEN Zhi  JIAO Li-ping  LIU Xiao-rong  et al.
Affiliation:CHEN Zhi,JIAO Li-ping,LIU Xiao-rong,et al. Department of Nephrology,Beijing Children's Hospital,Capital University of Medical Sciences,Beijing 100045,China
Abstract:Objective To investigate the clinical effects of hemodialysis(HD) and peritoneal dialysis(PD) on children with acute renal failure(ARF).Methods The clinical and laboratory data of children with ARF were analyzed before and after dialysis between 1994 and 2002.Results Both PD and HD showed the same efficacy in correcting renal function and acid-base/electrolyte unbalance.But the recovery time in HD is shorter than PD.Conclusion HD therapy is a safe and effective approach for ARF, even at small age group,it is faster than PD.PD is also an effective method in managing ARF especially in primary hospitals.
Keywords:Acute renal failure  Peritoneal dialysis  Hemodialysis
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