Meeks A C, Sims D G
North Western Regional Perinatal Centre, St Mary's Hospital, Manchester.
Arch Dis Child. 1988 Nov;63(11):1372-6. doi: 10.1136/adc.63.11.1372.
Thirty neonates with acute renal failure were studied, 27 of whom died (90%) including nine of 12 treated by peritoneal dialysis. Three main aetiological groups were identified. Septicaemia was a principal cause of late onset acute renal failure, with an incidence equal to that of serious perinatal disorders. It is recommended that tolazoline should be used with caution in the treatment of hyperkalaemia as it may have a role in the aetiology of acute renal failure, the incidence of which is increasing.
对30例急性肾衰竭新生儿进行了研究,其中27例死亡(90%),包括12例接受腹膜透析治疗的患儿中的9例。确定了三个主要病因组。败血症是晚发性急性肾衰竭的主要原因,其发病率与严重围产期疾病相当。建议在治疗高钾血症时应谨慎使用妥拉唑啉,因为它可能在急性肾衰竭的病因中起作用,而急性肾衰竭的发病率正在上升。