The characteristic and indications of children′s hemodialysis and filtration
LI Cuihua, LUAN Jiangwei, YANG Xingxian, et al. The Medical College of Wuhan University,Wuhan 430016, P.R.China
Objective To investigate the characteristic and indications of children′s hemodialysis(HD), hemodialysis and filtration(HDF).Methods Precautionary hemodialyses of 99 times HD or for 9 times HDF were given to 31 children with renal failure resulted from kinds of factors, such as toxicosis of medicine or poison, or multiple organ dysfunction syndrome(MODS).Results There were 22 cases whose renal function were fully recovered, 7 cases improved, and 2 cases dead (having no direct relation with HD), with fewer complications, hypotension (only 9.17 % ) and disequilibrium syndrome ( 2.75 %).Conclusions The key to succeed in HD depends on the physiological characteristic of children to select the indications of HD, according to the velocity of the blood flow and time to adjust the urea excretion ratio and the curve of the blood flow′s velocity. At the same time, precautionary HD should be given to those patients who have acute renal failure and HDF was employed to those who had high edema, severe uraemia , variable hemodynamics or MODS.