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肾移植后依赖透析的儿童睡眠呼吸障碍的解决。

Resolution of sleep-disordered breathing in a dialysis-dependent child post-renal transplantation.

机构信息

Department of Pediatrics, Starship Children's Hospital, University of Auckland, Private Bag 92024, Auckland, New Zealand.

出版信息

Pediatr Nephrol. 2010 Jan;25(1):173-7. doi: 10.1007/s00467-009-1272-0.

DOI:10.1007/s00467-009-1272-0
PMID:19680696
Abstract

This case alerts paediatricians and renal physicians to the potential for significant sleep-disordered breathing in children with renal disease, particularly those with end stage kidney disease requiring dialysis. In some cases, management of the underlying renal disease may result in amelioration of the sleep-disordered breathing. Proactive sleep history taking and formal sleep monitoring in experienced centres may be indicated for these children to limit morbidity, especially if respiratory support is indicated.

摘要

本病例提醒儿科医生和肾脏科医生注意患有肾脏疾病的儿童,尤其是需要透析的终末期肾病儿童,可能存在严重的睡眠呼吸障碍。在某些情况下,对基础肾脏疾病的治疗可能会改善睡眠呼吸障碍。对于这些儿童,在有经验的中心积极进行睡眠史采集和正式的睡眠监测,可能有助于限制发病率,特别是如果需要呼吸支持的话。

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本文引用的文献

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Pediatr Nephrol. 2008 Sep;23(9):1445-53. doi: 10.1007/s00467-008-0845-7. Epub 2008 May 31.
2
Use of new peritoneal dialysis solutions in children.新型腹膜透析液在儿童中的应用。
Kidney Int Suppl. 2008 Apr(108):S137-44. doi: 10.1038/sj.ki.5002615.
3
Health outcome measurements in children with sleep disordered breathing.睡眠呼吸障碍儿童的健康结局测量
Clin Otolaryngol. 2007 Aug;32(4):268-74. doi: 10.1111/j.1365-2273.2007.01459.x.
4
Impact of kidney transplantation on sleep apnoea in patients with end-stage renal disease.肾移植对终末期肾病患者睡眠呼吸暂停的影响。
Nephrol Dial Transplant. 2007 Oct;22(10):3028-33. doi: 10.1093/ndt/gfm309. Epub 2007 Jun 7.
5
Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy.接受透析治疗的终末期肾病患者的睡眠障碍
Nephrol Dial Transplant. 2006 Jan;21(1):184-90. doi: 10.1093/ndt/gfi144. Epub 2005 Sep 6.
6
Sleep disturbances in pediatric dialysis patients.儿科透析患者的睡眠障碍
Pediatr Nephrol. 2005 Jan;20(1):69-75. doi: 10.1007/s00467-004-1700-0. Epub 2004 Nov 24.
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Paediatr Respir Rev. 2004 Sep;5(3):182-9. doi: 10.1016/j.prrv.2004.04.009.
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