APPLICATION RENAL REPLACEMENT THERAPY IN CHILDREN IN KEMEROVO REGION
https://doi.org/10.17802/2306-1278-2016-1-77-85
Abstract
The paper features comparative outcomes of applying different methods of renal replacement therapy for acute renal failure and chronic renal failure in children at the pediatric dialysis unit of the Russian children’s hospital «Zonal perinatal centre» in Novokuznetsk. The use of renal replacement therapy as an optimal method for achieving adequate and effective replacement of kidney function is validated. There are treated 58 children, 37 patients with acute kidney injury and 21 with terminal chronic renal failure. Acute renal failure was prevailed in preschoolers of 1–6 years old children – 24 (64,8 %), the terminal chronic renal failure in school children and teenagers – 16 (76,2 %). The renal replacement therapy used in 5 (13,5 %) patients with septic diseases, and in 6 (16,2 %) patients with poisons diseases. Methods of renal replacement therapy is effectively cleansing of the blood in critically ill patients. This method can reduce the rate of mortality and effectively adjust homeostasis in severe infections, septic diseases, multiple organ dysfunction syndrome and in patients with poisons diseases. Application of peritoneal dialysis allows as effective replacement of renal function in the children with difficulty vascular access.
About the Authors
T. I. BORSHCHIKOVA
Municipal Budgetary Medical Prophylactic Establishment Zonal Perinatal Center,
Children’s Clinical Hospital Novokuznetsk, Russia
Russian Federation
Russian Federation
26, Sechenova st., Novokuznetsk, 654041, Russian Federation Tel. +7 (3843) 796-988
S. V. KARDASH
Municipal Budgetary Medical Prophylactic Establishment Zonal Perinatal Center,
Children’s Clinical Hospital Novokuznetsk, Russia
Russian Federation
Russian Federation
O. N. SERGEEVA
Municipal Budgetary Medical Prophylactic Establishment Zonal Perinatal Center,
Children’s Clinical Hospital Novokuznetsk, Russia
Russian Federation
Russian Federation
M. P. TSYGANOVA
Municipal Budgetary Medical Prophylactic Establishment Zonal Perinatal Center, Children’s Clinical Hospital Novokuznetsk, Russia
Russian Federation
Russian Federation
References
1. Руководство по экстракорпоральному очищению крови и интенсивной терапии. Под ред. Л. А. Бокерия, М. Б. Ярустовского. М.: НЦССХ им. А. Н. Бакулева РАМН; 2009. Rukovodstvo po ekstrakorporal’nomu ochishcheniyu krovi i intensivnoy terapii. pod red. L. A. Bokeriya, M. B. Yarustovskogo. Moscow, 2009. [In Russ].
2. Bellomo R., Ronco C., Kellum J. et al. Acute renal failure – definition, outcome measures? Animal model, fluid therapy and information technology needs: the Seconds International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care. 2004; 8: 204–212.
3. Honore P. M., Jamez J., Wauthier M. et al. Prospective evaluation of short-term, high-volume isovolemic hemofiltration on the hemodynamic course and outcome in patients with intractable circulatory failure resulting from septic shock. Crit. Care Med. 2000; 28 (11): 3581–3587.
4. Uchino S., Bellomo R., Goldsmith D. et al. Super high flux hemofiltration: a new technique for cytokine removal. Intensive Care Med. 2002; 28 (5): 651–655.
5. Formica M., Olivieri C., Livigni S. et al. Hemodynamic response to coupled plasmafiltration – adsorption in human septic shock. Intensive Care Med. 2003; 29 (5): 703–708.
6. Зверев Д. В., Мазуров А. Л ., Попа А. В., Харламова Т. Ю. Роль перитонеального диализа в лечении почечной недостаточности у детей. Нефрология и диализ. 1991;1 (1): 12–20. Zverev D. V., Mazurov A. L., Popa A. V., Kharlamova T. Yu. Rol’ peritoneal’nogo dializa v lechenii pochechnoy nedostatochnosti u detey. Nefrologiya i dializ. 1991; 1 (1): 12–20. [In Russ].
7. Gabriel D. P., Caramori J. T., Martim L. C. et al. High volume peritoneal dialysis vs daily hemodialysis: a randomized, controlled trial in patients with acute kidney injury. Kidney Int. Suppl. 2008; 108: 87–93.
8. Keane W. F., Alexander S. R., Bailie G. R. et al. Peritoneal dialysis-related peritonitis treatment recommendations: Perit Dial. Int. 1996; 16 (6): 557–573.
9. Chertow G. M., Soroko S. H., Paganini E. P. et al. Mortality after acute renal failure: models for prognostic stratification and risk adjustment. Kidney Int. 2006; 70 (6): 1120–1126.
10. Хорошилов С. Е . Предупреждение и лечение острой почечной недостаточности при критических состояниях. Автореф. дис. … д-ра мед. наук. М., 2007. Khoroshilov S. E. Preduprezhdenie i lechenie ostroy pochechnoy nedostatochnosti pri kriticheskikh sostoyaniyakh. [dissertation]. Moscow; 2007. [In Russ].
Review
For citations:
BORSHCHIKOVA T.I., KARDASH S.V., SERGEEVA O.N., TSYGANOVA M.P. APPLICATION RENAL REPLACEMENT THERAPY IN CHILDREN IN KEMEROVO REGION. Complex Issues of Cardiovascular Diseases. 2016;(1):77-85. (In Russ.) https://doi.org/10.17802/2306-1278-2016-1-77-85
Views:
812
