在三级新生儿护理单位接受腹腔透析的新生儿的临床特征,结果和并发症 - 一项观察性研究
Susmitha Tangirala1, Usha Devi1, Thinesh Kumar1
1Department of Neonatology, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India.
概括
腹膜透析 (PD) 是一种常见的新生儿治疗方法. 这项研究发现,PD可用于所有妊娠年龄和出生体重,并发症率低,使其成为新生儿可行的脏替代疗法选择.
科学领域:
- 新生儿医学 新生儿医学
- 儿科脏病学 儿科脏病学
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 腹腔透析 (PD) 是新生儿的主要替代疗法.
- 在新生儿单位的患者选择和结果中存在显著的变化.
研究的目的:
- 评估新生儿急性腹膜透析的指示,并发症和生存结果.
- 评估PD在不同妊娠年龄和出生体重的可行性.
主要方法:
- 对23名接受急性PD的新生儿 (2016年8月 - 2021年7月) 的回顾性分析.
- 包括一个横截面民意调查医生与PD的经验.
- 基线,临床和生化参数的分析,以及结果和并发症.
主要成果:
- 常见的症状包括急性损伤 (74%),流体过载 (17%) 和代谢天生的错误 (9%).
- 在74%的病例中使用了猪尾导管.
- 并发症是最小的,有4名新生儿的导管阻塞和2名新生儿的腹膜炎;没有观察到任何程序并发症.
结论:
- 急性腹膜透析是一种可行的新生儿脏替代疗法,无论妊娠年龄或出生体重如何.
- 在这个队列中,PD表现出良好的安全性,并发症率低.
- 标准化协议可以进一步改善结果,并减少PD交付中的异质性.
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