极低出生体重儿急性肾损伤的腹膜透析

Harshman Lyndsay A, Muff-Luett Melissa, Neuberger Mary L, Dagle John M, Shilyansky Joel, Nester Carla M, Brophy Patrick D, Jetton Jennifer G

Stead Family Department of Pediatrics, Division of Pediatric Nephrology , University of Iowa Children's Hospital , Iowa City, IA , USA.

Stead Family Department of Pediatrics, Division of Neonatology , University of Iowa Children's Hospital , Iowa, City , IA , USA.

Clin Kidney J. 2014 Dec;7(6):582-5. doi: 10.1093/ckj/sfu095. Epub 2014 Sep 11.

Critically ill neonates are at high risk for acute kidney injury (AKI). Renal supportive therapy (RST) can be an important tool for supporting critically ill neonates with AKI, particularly in cases of oliguria and fluid overload. There are few reports of RST for management of oligo-anuric AKI in the extremely low-birth-weight infant weighing <1000 g. We report successful provision of peritoneal dialysis (PD) to an 830-g neonate with oligo-anuric AKI through adaptation of a standard pediatric acute PD catheter.

危重新生儿发生急性肾损伤（AKI）的风险很高。肾脏支持治疗（RST）可能是支持患有AKI的危重新生儿的重要手段，尤其是在少尿和液体超负荷的情况下。关于RST用于管理体重<1000g的极低出生体重儿少尿-无尿型AKI的报道很少。我们报告了通过采用标准儿科急性腹膜透析导管，成功地为一名体重830g、患有少尿-无尿型AKI的新生儿进行了腹膜透析（PD）。