Salusky I B, von Lilien T, Anchondo M, Nelson P A, Fine R N
Department of Pediatrics, UCLA School of Medicine 90024.
Pediatr Nephrol. 1987 Apr;1(2):172-5. doi: 10.1007/BF00849290.
The clinical experience in eight infants aged 5.8 +/- 2.3 (SD) months at the initiation of continuous cycling peritoneal dialysis (CCPD) is described. BUN, creatinine, albumin, calcium, phosphorus and alkaline phosphatase measurements were performed serially and no changes were seen throughout the follow-up period. Mean total energy and protein intake were 94 +/- 8% and 79 +/- 9% of the recommended. The initial and final standard deviation scores (SDS) for height were -1.42 +/- 1.32 and -2.47 +/- 1.36 (P less than 0.001), respectively. The SDS for body weight and head circumference were -1.67 +/- 0.71 and -1.67 +/- 1.04, respectively, at the beginning of the study and -1.83 +/- 0.98 and -1.88 +/- 1.52, respectively, at the end of the period of observation. The incidence of peritonitis was one episode every 11.6 patient months; six patients developed nine hernias. The present study demonstrates that CCPD is an acceptable dialytic modality, with minimal morbidity, for the management of infants awaiting renal transplantation.
本文描述了8例年龄在5.8±2.3（标准差）个月开始持续循环腹膜透析（CCPD）的婴儿的临床经验。连续进行血尿素氮、肌酐、白蛋白、钙、磷和碱性磷酸酶测量，在整个随访期间未见变化。平均总能量和蛋白质摄入量分别为推荐量的94±8%和79±9%。身高的初始和最终标准差评分（SDS）分别为-1.42±1.32和-2.47±1.36（P<0.001）。研究开始时体重和头围的SDS分别为-1.67±0.71和-1.67±1.04，观察期末分别为-1.83±0.98和-1.88±1.52。腹膜炎的发生率为每11.6患者月1次；6例患者发生9次疝气。本研究表明，CCPD是一种可接受的透析方式，并发症发生率低，可用于等待肾移植的婴儿的治疗。
