Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
권호 표지

The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients

소아에서 펌프를 이용한 지속적 정정맥 여과법을 시행한 경험 3례

  • Lim Yean-Jung (Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Hahn Hye-Won (Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Lee Byung-Sun (Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Park Young-Seo (Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center)
  • 임연정 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 한혜원 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 이병선 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 박영서 (울산대학교 의과대학 서울아산병원 소아과)
  • Published : 2002.10.01
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Abstract

We report the experiences of pump-driven continuous venovenous hemofiltration therapy in three children with acute renal failure. The all three patients required mechanical ventilation and needed the support of vasopressors. Renal replacement therapy was needed to meet the metabolic and fluid balance, but intermittent hemodialysis and peritoneal dialysis were not feasible because of hemodynamic instability and concurrent infection. We instituted pump-driven continuous venovenous hemofiltratlon (CVVH), and immediate improvement of pulmonary edema and successful removal of retained fluid were observed. Urea clearance also was satisfactory. During the filter running time, significant thromboembolic event or rapid drop of systemic blood pressure were absent. We concluded that the CVVH is an effective and safe method of renal support for critically ill pediatric patient.

저자들은 다장기 부전과 패혈증에 의한 ?상태의 급성 신부전 환아 세 명에서 펌프를 이용한 CVVH를 이용하여 효과적으로 한외여과액을 유지할 수 있었던 경험을 문헌 고찰과 함께 보고하는 바이다.

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