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目的 :探讨血液透析 (HD)在儿科应用的特点及小儿肾功能衰竭HD的临床价值。方法 :对 6 2例 2岁 8月～ 14岁的急慢性肾衰小儿共 2 81次HD进行分析。结果 :所有病例HD后肾功能明显改善 ,尿毒症症状减轻。痊愈 2 9例 ,好转 2 0例 ,自动出院 7例 ,死亡 6例 ,无 1例死亡与透析直接相关。主要并发症为低血压 (15 3% )、高血压 (4 6 % )、呕吐 (4 6 % )、失衡综合征 (3 2 % )。结论 :小儿HD成功的关键在于血管通路的建立、血容量的稳定及并发症的防治 ,应根据患儿的具体情况制定个体化透析方案。HD是抢救治疗小儿肾衰有效而较为安全的手段
Objective: To investigate the clinical application of hemodialysis (HD) in pediatrics and pediatric renal failure HD. Methods: A total of 2 81 HD in 62 children aged 2 to 8 years with acute and chronic renal failure were analyzed. Results: Renal function in all cases was significantly improved after HD, uremia symptoms reduced. 29 cases were cured, 20 cases improved, 7 cases were discharged automatically and 6 cases died. None of the deaths were directly related to dialysis. The main complications were hypotension (15.3%), hypertension (46%), vomiting (46%), and imbalance syndrome (32%). Conclusion: The key to successful HD in children is the establishment of vascular access, the stability of blood volume and the prevention and treatment of complications. Individualized dialysis programs should be formulated according to the specific conditions of children. HD is a safe and effective rescue and treatment of pediatric renal failure