【摘要】 目的 探讨腹膜透析治疗小儿急性肾功能衰竭(ARF)的临床效果、安全性、并发症的防治等。方法 32例ARF患儿，年龄1～13岁，平均6.2岁。腹部手术切开置入透析管，采用IPD及CAPD进行腹膜透析。结果 腹透5天血尿素氮(BUN)平均下降51.8%，血肌酐(Cr)5天平均下降43.3%，能有效的维持水、电解质、酸碱平衡。院内期间存活27例，死亡5例。腹透并发症发生率(人次)为31%，分别为腹膜炎4例，透析液渗漏重新置管2例，透析管堵塞4例。结论 腹膜透析治疗小儿急性肾功能衰竭疗效肯定，安全。早期预防透析、积极预防和控制感染可降低病死率。

    关键词 急性肾功能衰竭 腹膜透析 感染

    Observation on therapeutic efficacy and safety of peritoneal dialysis in children with acute renal failure

    Zhang Qin，Xiao Yu，Zhang Jiarong

    Department of Pediatrics，Taihe Hospital Affiliated Yunyang medical college，Shiyan，442000.

    【Abstract】 Objective To observe the efficacy and safety of peritoneal dialysis in treatment of children with acute renal failure.Methods The authors analyzed32children with acute failure need peritoneal dialysis in Taihe hospital from1990to2003.The age of the patients ranged from1to13years.Peritoneal dialysis was done in intermitˉtent peritoneal dialysis(IPD)or continuous ambulatory peritoneal dialysis(CAPD).Results Five days after peritoneal dialysis，the level of serm BUN fell51.8% ......