|
KMID : 0364019960290080844
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 8 p.844 ~ p.849
|
|
|
Peritoneal Dialysis After Correction of Complicated Congenital Heart Disease in Children
|
|
|
|
|
Abstract
|
|
|
During the 2 years period, we have performed acute peritoneal dialysis in twenty two children after cardiopulmonary bypass among 198 patients who underwent surgery due to complicated congenital heart diseases.
The mean age of patients was 14.8±17.8months. The indication of peritoneal dialysis were fluid overload(10 cases), oliguria(9 cases)and hyperkalemia(3 cases).
Bypass time greater than 90 minutes was a predictor of the need for dialysis(P<0.005). Five of 13 neonates(38%) operated on instituted peritoneal dialysis but it was insignificant determinant factor(p=08).
Sixteen patients recovered their renal fuction, but 4 patients died due to respiratory failure or sepsis. All the patients which could not recover their renal function, expired although the renal failure was not responsible for the mortality.
We think that early peritoneal dialysis is helpful in cases of oliguia, fluid overload or hyperkalemia after cradiopulmonary bypass.
These daa suggest that even though myocardial oxidative stress and tissue damage occur during reperfusion, the endogenous antioxidant enzyme system is also activated to protect the myocardium against the oxidative stress.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|