Pang Yachang,Xu Zhuoming,Zhang Mingjie,et al.Application and effect of peritoneal dialysis in children after congenital heart surgery[J].Journal of Clinical Pediatric Surgery,,20():743-748.[doi:10.12260/lcxewkzz.2021.08.008]
Application and effect of peritoneal dialysis in children after congenital heart surgery
- Keywords:
- Heart Diseases/CN; Heart Defects; Congenital/SU; Peritoneal Dialysis; Treatment Outcome; Child
- CLC:
- R541;R459.51;R726.1
- Abstract:
- Objective To explore the risk factors for peritoneal dialysis after congenital heart surgery in children and discuss the indications and clinical significance of early peritoneal dialysis. Methods Clinical data were reviewed for 12, 922 children undergoing heart surgery from January 2015 to December 2018. For study group, 679 cases of peritoneal dialysis were recruited while another 12, 243 children without peritoneal dialysis selected as control group. The occurring risk factors of peritoneal dialysis were examined by single and multiple-factor analysis. And the prognosis was compared between early and delayed peritoneal dialysis. Results Palliative operation, delayed sterna closure, preoperative hypoxia, RACHS-1 ≥3, CPB ≥120 min, ACC ≥60 min and age had significant differences (P<0.05). While there was no difference of statistical significance of mortality between early and delayed PD group, hospital stay, ICU stay and mechanical support time were shorter in early PD group. Conclusion Palliative operation, delayed sternal closure, preoperative hypoxia, RACHS-1≥3, CPB≥120 min, ACC≥60 min and age are the occurring risk factors of PD after congenital heart surgery. Though without effect on mortality, early peritoneal dialysis can decrease the durations of hospital stay, ICU stay and mechanical support time.
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Memo
收稿日期:2020-03-09。
通讯作者:徐卓明,Email:zmxyfb@163.com