Summar M, Pietsch J, Deshpande J, Schulman G
Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
J Pediatr. 1996 Mar;128(3):379-82. doi: 10.1016/s0022-3476(96)70287-1.
Two infants with urea cycle disorders had life-threatening hyperammonemia within the first 5 days of life. Both patients were small for dates, poorly oxygenated, and hemodynamically unstable. We employed a combination of extracorporeal oxygenation and hemodialysis to provide high-flow filtration in a controlled system to rapidly detoxify both patients.
两名患有尿素循环障碍的婴儿在出生后的头5天内出现了危及生命的高氨血症。两名患者均小于胎龄、氧合不良且血流动力学不稳定。我们采用体外氧合和血液透析相结合的方法,在一个可控系统中进行高流量过滤,以迅速为两名患者解毒。