中国循证儿科杂志2017，Vol.12Issue(5)：347-351,5.DOI:10.3969/j.issn.1673-5501.2017.05.006
连续血液净化技术在中国儿童重症医学科应用状况的横断面调查
The application status of continuous blood purification in Chinese pediatric critical care medicine: a cross-sectional survey
杨雪 1陆国平 1钱素云 2祝益民 3许煊 4刘春峰 5许峰 6任晓旭 7王莹 8张育才9
作者信息
- 1. 复旦大学附属儿科医院重症医学科 上海,201102
- 2. 首都医科大学附属北京儿童医院重症医学科 北京,100045
- 3. 湖南省人民医院急救中心 长沙,410007
- 4. 陆军总医院附属八一儿童医院儿童重病中心 北京,100000
- 5. 中国医科大学附属盛京医院儿科 沈阳,110004
- 6. 重庆医科大学附属儿童医院重症医学科 重庆,401122
- 7. 首都儿科研究所附属儿童医院重症医学科 北京,100020
- 8. 上海儿童医学中心重症医学科 上海,200127
- 9. 上海市儿童医院重症医学科 上海,200062
- 折叠
摘要
Abstract
Objective To study the application of continuous blood purification (CBP) in Chinese pediatric critical care medicine from 2012 to 2016.Methods A questionnaire named Application Status of Continuous Blood Purification Technology in 2012 was revised and perfected according to a cross-sectional study.The Chinese Medical Association and Chinese Medical Doctor Association pediatric emergency or critical care unit members were selected as the investigation hospital.The survey contents:① the nature,size and number of PICU beds of investigative hospitals;② the implementation of peritoneal dialysis (IPD),hemodialysis (IHD),continuous renal replacement therapy (CRRT),plasma exchange (TPE),hemoperfusion (HP),blood adsorption (PA) and artificial liver support (ALSS);③ the application in different diseases and the complications of CBP.Participated hospitals received a unified training and then finished filling out the questionnaire.Results From December 30,2016 to March 30,2017,53/55 hospitals in 39 cities of 28 provinces completed filing out the questionnaires,among which there were 39 pediatric hospital,14 general hospitals and 49 Third-level grade-A hospitals.All the 53 hospitals had PICU wards,and the average bed number of PICU was 25.23 hospitals carried out CRRT,with 6 618 cases;32 hospitals carried out TPE with 2 580 cases;23 hospitals carried out HP with 2 238 cases;20 hospitals carried out ALSS with 961 cases.The number of cases using various blood purification techniques showed an increasing trend year by year,while the proportion of IPD showed a downward trend.Theimplementation of CBP was mainly in ICU in more than 80％ hospitals,followed by nephrology.CBP is mainly used in the treatmentof sepsis (24.3％),MODS (20.3％),drug poisoning (12.7％) and other diseases.Neonatal CBP has been carried out in 9hospitals,and 46 neonates received CBP treatment.1 093 children with liver failure were treated with CBP;the survival rates of each model were HP 85.7％,TPE+HP 72％,TPE 70.5％,CRRT 69.8％,TPE+CRRT 50％.The leading complication of CBP included deep vein catheter suction,membrane occlusion and so on.Conclusion CBP is rapidly popularized in pediatric critical care in China from 2012 to 2016 and widely used in the treatment of sepsis.关键词
血液净化/连续血液净化/重症医学/脓毒症Key words
Blood purification/Continuous blood purification/Critical care medicine/Sepsis引用本文复制引用
杨雪,陆国平,钱素云,祝益民,许煊,刘春峰,许峰,任晓旭,王莹,张育才..连续血液净化技术在中国儿童重症医学科应用状况的横断面调查[J].中国循证儿科杂志,2017,12(5):347-351,5.
