Fischbach Michel, Fothergill Helen, Zaloszyc Ariane, Menouer Soraya, Terzic Joelle
Nephrology Dialysis Transplantation Children's Unit, University Hospital Hautepierre, Avenue Molière, Strasbourg, France.
Semin Dial. 2011 Nov-Dec;24(6):640-4. doi: 10.1111/j.1525-139X.2011.01020.x. Epub 2011 Nov 18.
Children receiving chronic hemodialysis (HD) three times a week have many obstacles to overcome. Not only do they have to endure dietary restrictions, but they also need to take various medications on a daily basis, which contribute to anorexia. Children on such conventional dialysis programs often have poorly controlled blood pressure (which can lead to left ventricular hypertrophy and/or left ventricular dysfunction) and impaired statural growth. Therefore, the need for more frequent and/or intensive dialysis is recognized. Nevertheless despite limited center experience, daily dialysis is currently most often limited as a rescue treatment. When performed, daily intensified HD provides a modality for preserving cardiovascular health and promoting normal growth in children. Therefore, the time spent on chronic dialysis preserves their chances of the best possible outcome.
每周接受三次慢性血液透析（HD）的儿童有许多障碍需要克服。他们不仅要忍受饮食限制，而且每天还需要服用各种药物，这会导致厌食。接受此类传统透析方案的儿童往往血压控制不佳（这可能导致左心室肥厚和/或左心室功能障碍）且身材发育受损。因此，人们认识到需要更频繁和/或强化的透析。然而，尽管中心经验有限，但目前每日透析通常大多仅限于作为一种挽救治疗。当进行每日强化血液透析时，它为维护儿童心血管健康和促进正常生长提供了一种方式。因此，花在慢性透析上的时间保留了他们获得最佳可能结果的机会。
