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Clinical study of acute kidney injury caused by diarrhea in infants |
FU Ji-nan1 CHEN Hai-ping2 |
1.Department of Paediatrics,Maternal and Child Health Care Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337000,China;
2.Department of Gynaecology,Maternal and Child Health Care Hospital of Pingxiang City in Jiangxi Province,Pingxiang337000,China |
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Abstract Objective To explore treatment methods of acute kidney injury caused by diarrhea in infants,to minimize the damage to the infant′s body.Methods From December 2014 to December 2015,136 cases diagnosed as acute kidney injury caused by diarrhea in infants in our hospital were divided into group A of 54 cases and group B of 82 cases according to different treatment methods,infants in group A were given rehydration,correcting acid treatment,infants in group B were given expansion,correcting acidosis,Phentolamine and Dopamine and Furosemide diuresis,urine volume, blood urea nitrogen(BUN),creatinine(Cr),uric acid level were compared in two groups.Results The urine volume of two groups increased,Cr and BUN of two groups were significantly improved after treatment,but BUN and Cr,uric acid in group B after treatment decreased more significantly than that in group A,and the difference was statistically significant (P<0.05).Conclusion Expansion,correction of acidosis,Phentolamine and Dopamine dilating renal artery,Furosemide diuresis,oxygen inhalation,correct water and electrolyte disorders and other comprehensive treatment for acute kidney injury caused by diarrhea in infants,which have good operability and good effect.
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[1] |
方鹤松,段恕诚,于卫力,等.中国腹泻病诊断治疗方案(试行)[J].中国农村医学,2013,2(15):45-47.
|
[2] |
胡亚美,江载芳.实用儿科学[M].7版.北京:人民卫生出版社,2015:458-459.
|
[3] |
任力,彭明霞.湖北松滋地区婴幼儿腹泻病现状[J].中国医药导报,2011,8(2):81-83.
|
[4] |
郭姣.中医多途径多方法治疗小儿腹泻[J].中医药信息,1995,12(4):18-21.
|
[5] |
汤晓静,梅长林.KDIGO指南解读:急性緊损伤的诊治[J].中国实用内科杂志,2014,32(12):914-917.
|
[6] |
方座华.小儿腹泻临床诊治体会[J].中国医药指南,2015,6(30):143-145.
|
[7] |
]Kidney Disease:Improving Global Outcomes(KDIGO)A-cuteKidneyInjuryWorkGroup.KDIGOclinicalpracticeguideline for acute kidney injury[J].Kidney Inter,2015,(Suppl 2):11-38.
|
[8] |
钟春平,许通义.下颈椎不稳症诊断和治疗[J].颈腰痛杂志,2015,22(1):16-18.
|
[9] |
刘霞文.山茛菪碱治疗小儿腹泻的临床观察[J].中国当代医药,2011,18(3):55-56.
|
[10] |
曾荣.新生儿生理性腹泻1例护理观察与体会[J].中国中医药现代远程教育,2010,8(7):77.
|
[11] |
陈健.保儿安颗粒冲剂治疗婴幼儿腹泻的临床观察[J].中国中医药现代远程教育,2009,7(1):31.
|
[12] |
王振清.联合用药治疗婴幼儿腹泻50例[J].中国中医药现代远程教育,2010,8(15):49.
|
[13] |
Bayer O,Reinhart K,Kohl M,et al.Effects of fluid resuscitation with synthetic colloids or crystalloids alone on shock reversal,fluid balance,and patient outcomes in patients with severe sepsis:a prospective sequential analysis[J]. Crit Care Med,2015,40(9):2543-2551.
|
[14] |
Li JZ,Liu L,Chang JP.Clinical analysis of 30 cases infected salmonella typhimurium[J].Clin Med Chin,2000,16(10):764.
|
[15] |
张云生.颈椎不稳的X线征象分析与检查方法[J].包头医学院学报,2015,14(30):85.
|
[16] |
聂青和.感染性腹泻的临床诊治[J].传染病信息,2009,22(3):132-136.
|
[17] |
Fry AC,Farrington K.Management of acute renal failure[J]. Postgrad Med J,2015,82(964):106-116.
|
|
|
|