重庆医学Issue(27):3260-3261,2.DOI:10.3969/j.issn.1671-8348.2013.27.021
血液透析治疗儿童蜂蜇伤致急性肾损伤60例临床观察
Clinical observation on hemodialysis in treating 60 cases of acute kidney injury caused by bee sting
陶红 1王岭 1黎晓兰 1兰玉平 1阮兴朝 1李秋2
作者信息
- 1. 四川省攀枝花市中心医院儿科 617000
- 2. 重庆医科大学附属儿童医院 400014
- 折叠
摘要
Abstract
Objective To summarize the clinical features of bee sting caused aute kidney injury in children and the effect of he-modialysis therapy .Methods 60 children cases of bee sting caused acute renal injury were performed the retrospective analysis on the clinical features and laboratory data .Results Cystatin C ,serum creatinine ,blood urea nitrogen in children patients with acute kidney injury after hemodialysis were significantly decreased ,while procalcitonin ,high-sensitivity C-reactive protein ,acidosis and e-lectrolyte imbalance also were corrected or improved .After hemodialysis in 60 children cases ,45 cases were clinically cured ,13 cases were significantly improved and discharged and 2 cases died .Conclusion Bee sting is most likely to result in children acute renal in-jury .Hemodialysis is safe and effective treatment measures for acute kidney injury ,can actively improve the renal function without significant complications of acid-base balance and electrolyte imbalance .But the prognosis is closely related with the onset age of the aute kidney injury ,injury severity ,where or not accompanied by MOF ,opportunity of diagnose and treatment ,etc .关键词
肾透析/咬伤和蜇伤/儿童Key words
renal dialysis/bites and stings/chile引用本文复制引用
陶红,王岭,黎晓兰,兰玉平,阮兴朝,李秋..血液透析治疗儿童蜂蜇伤致急性肾损伤60例临床观察[J].重庆医学,2013,(27):3260-3261,2.