Coe Kristi, Lail Candace
Brenner Children's Hospital, Winston-Salem, NC, USA.
Adv Neonatal Care. 2007 Aug;7(4):179-86. doi: 10.1097/01.ANC.0000286334.06047.61.
Acute renal failure is common in the neonatal intensive care unit but is often not recognized in its early phases, when it is potentially reversible. The typical patient with acute renal failure is premature, but many term infants are also at risk. One such group is those with severe bleeding, such as a subgaleal hemorrhage. In these cases, hypovolemia can quickly progress to ischemia, which affects many organs but has profound effects on the kidney. In term infants, acute renal failure is most commonly diagnosed in those with perinatal depression. This article presents a unique case of an infant with subgaleal and intracranial bleeding that resulted in acute renal failure requiring peritoneal dialysis in the hopes of the eventual restoration of kidney function.
急性肾衰竭在新生儿重症监护病房很常见，但在其早期阶段往往未被识别，而此时它可能是可逆的。典型的急性肾衰竭患者是早产儿，但许多足月儿也有风险。其中一类是有严重出血的患儿，如帽状腱膜下出血。在这些情况下，血容量不足可迅速发展为缺血，这会影响许多器官，但对肾脏影响深远。在足月儿中，急性肾衰竭最常见于有围产期窒息的患儿。本文介绍了一例独特的病例，一名婴儿发生帽状腱膜下和颅内出血，导致急性肾衰竭，需要进行腹膜透析，以期最终恢复肾功能。
