Klinkner Denise B, Siddiqui Sabina
Division of Pediatric Surgery, Mayo Clinic, Rochester, MN, United States.
Division of Pediatric Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, United States.
Semin Pediatr Surg. 2019 Feb;28(1):57-60. doi: 10.1053/j.sempedsurg.2019.01.010. Epub 2019 Jan 18.
Renal dysfunction is very common in the pediatric surgical critical care patient, with an estimated incidence of up to 35% in the PICU population. It impacts multiple other organ systems, particularly ventilation, and adds to the morbidity and mortality in children with multisystem organ dysfunction. In this article, we review the definitions and stages of renal failure in the pediatric population, identify which of these are more likely to require renal replacement therapy, and identify the indications for the different types of intervention. In addition, the complications of each form of therapy, along with management options, will be discussed. Finally, we will discuss the immediate and long-term outcomes for pediatric patients from neonates to adolescents.
肾功能障碍在儿科外科重症监护患者中非常常见，据估计在儿科重症监护病房（PICU）人群中的发病率高达35%。它会影响多个其他器官系统，尤其是通气功能，并增加多系统器官功能障碍患儿的发病率和死亡率。在本文中，我们回顾了儿科人群肾衰竭的定义和阶段，确定其中哪些更有可能需要肾脏替代治疗，并确定不同类型干预的指征。此外，还将讨论每种治疗方式的并发症以及管理选项。最后，我们将讨论从新生儿到青少年的儿科患者的近期和长期预后。
