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低龄危重患儿的紧急血液透析疗法

Emergent hemodialysis in critically ill children

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【作者】 余建莉蔡定邦严智先李汉桐伍锦泉刘秀英

【Author】 YU Jianli,CAI Dingbang,LI Hantong,et al.Zhaoqing First People’s Hospital,Guangdong,526021,China

【机构】 广东肇庆市第一人民医院儿科广东肇庆市第一人民医院肾内科广东肇庆市第一人民医院肾内科 526021526021

【摘要】 目的 探讨低龄儿血液透析技术实施的特点 ,以提高婴幼儿危重症抢救成功率。方法 采用瑞典产GambroAK90s血透机与宁波产 0 5~ 0 8cm醋酸纤维透析器对 33例年龄 5个月至 7岁危重儿实施紧急血液透析疗法 ,其中急性肾衰竭 2 0例 ,氟乙酰胺毒鼠药中毒 1 3例。结果  33例患儿均成功地实施 39例次紧急血液透析 ,透析中发生并发症 1 7例 (43 59% )经对症处理缓解。 30例治愈 ,治愈率 90 9%。结论 紧急血液透析技术是成功地抢救婴幼儿危重症最为快速、有效的措施之一

【Abstract】 Objective To explore the effect in children with critical illness using acute hemodialysis.Methods The 33 children of the age from 5 months to 7 years accepted emergent hemodialysises treatment by Gambro AK 90s dialytic machine with tubes of 0.5~0.8cm acetic acid fibremembrane.There were 20 infants with acute renal failure(ARF) and 13 children with fluoroacetamide poison.Results The 30 infants were recovered and curative rate was 90.9%.The complications of dialysis were found in 17 infants in 39 case time hemodialysises(43.59%).Two infants died as a result of multiple organ failure.Conclusion Emergent hemodialysis technique is a most quickly and effective technique that for treating infants with critical illness of ARF and posion.

  • 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine Pharmacy , 编辑部邮箱 ,2003年01期
  • 【分类号】R720.597
  • 【下载频次】32
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