Simple peritoneal dialysis in the treatment of severe congenital heart disease after operation complicated with low cardiac output syndrome in children / 中华实用儿科临床杂志

ABSTRACT

Objective To study the effect of simple peritoneal dialysis on the treatment of severe congenital heart disease(CHD) after operation complicated with low cardiac output syndrome(LCOS) in children with perioperative therapy.Methods After operation,fifty-three cases of severe CHD complicated with LCOS and the application of easy peritoneal dialysis were collected from Jan.to Jun.2013 in Department of Children's Surgical Intensive Care Specialist,Bayi Children's Hospital were collected.Functional parameters of vital organs,e.g.lung,kidney and heart were observed.Ages varied from 2 days to 2 years old,body weight from 2 to 8 kg.It contained 8 cases of complete transposition of great arteries with intact ventricular septum(TGA/IVS),10 cases of Tetralogy of Fallot(TOF),10 cases of pulmonary atresia (PA),6 cases of interruption of aortic arch (IAA),totally anomalous pulmonary venous drainage (TAPVC) in 6 cases,5 cases of coarctation of the aorta (COA),4 cases with right ventricular double outlet (DORV),3 cases with endocardial cushion defect(CAVC),1 case with ventricular septal defect(VSD).Results Fifty cases were completely cured,postoperative simple peritoneal dialysis treatment for 2 to 10 days,living ICU treatment time 2-15 days,urine output returns to normal 1-3 days,serum creatinine,blood urea nitrogen recovery time after 3-10.days,lactic acid to normal time 1-3 days,and 3 cases complicated with severe LCOS received extracorporeal membrane oxygenation therapy for difficult recovery,and postoperative recovery was good.Three cases died.Conclusions Easy peritoneal dialysis is convenient,safe,minimally invasive,inexpensive and effective.It can improve survival rate and reduce complications,shorten the time of mechanical ventilation and ICU residence time,hospitalization time and cost savings.