Rigden S P, Barratt T M, Dillon M J, De Leval M, Stark J
Arch Dis Child. 1982 Jun;57(6):425-30. doi: 10.1136/adc.57.6.425.
Acute renal failure developed in 24 (5.3%) of 456 children undergoing cardiopulmonary bypass surgery during a 2-year period. It was more common in younger children, in those with complex cardiac lesions, and in those with long overall bypass times. Fourteen (58%) recovered renal function; renal failure was responsible for death in only two. Early vigorous peritoneal dialysis is advocated after cardiopulmonary bypass surgery if there is oliguria (less than or equal to 1.0 ml urine/kg per hour) resistant to volume repletion, dopamine infusion and diuretics, intractable fluid overload, or hyperkalaemia.
在两年期间，456名接受体外循环手术的儿童中有24名（5.3%）发生了急性肾衰竭。急性肾衰竭在年幼儿童、患有复杂心脏病变的儿童以及体外循环总时间较长的儿童中更为常见。14名（58%）患儿肾功能恢复；肾衰竭仅导致2例死亡。如果出现对容量补充、多巴胺输注和利尿剂无反应的少尿（每小时尿量小于或等于1.0毫升/千克）、难治性液体超负荷或高钾血症，提倡在体外循环手术后早期积极进行腹膜透析。
