An Efficient Method For Renal Replacement Therapy In Newborn: Acute Peritoneal Dialysis

Yıl 2017, Cilt: 14 Sayı: 1, 18 - 21, 01.01.2017

Şükran Gözmen Keskin Özgür Olukman Kıymet Çelik Şebnem Çalkavur Sertaç Arslanoğlu Erkin Serdaroğlu

Öz

Aim: The aim is to evaluate the etiology, methods, events, complications and success rates of acute peritoneal dialysis at neonatal periodMaterial And Methods: Newborn babies, who had been diagnosed with different indications for dialysis and peritoneal dialysis was applied in the Intensive Care Unit, were evaluated retrospectively. A total of 44 infants were included in the study. Patients were evaluated according to the demographic, clinical and laboratory findings, etiology, efficacy and complications and the relationship between these findings and survival rate was compared.Results: Leukocyte count, pH and HCO3 values determined at the application, primary diagnosis, follow-up ventilator requirements, development of peritonitis and daily amount of ultrafiltrate were significantly correlated with survivalrates. There was no significant relationship in terms of otherdata.Conclusion: Applications of acute peritoneal dialysis in the newborn period can be performed for acute kidney injury and metabolic disorders unresponsive to medical treatment and it is a simple, safe and effective method.

Anahtar Kelimeler

Complication, newborn, peritoneal dialysis

Yenidoğan Döneminde Etkin Bir Renal Replasman Tedavisi Yöntemi: Akut Periton Diyalizi

Öz

Amaç: Yenidoğan döneminde akut periton dializi uygulamasının etiyoloji, yöntem, etkinlik, komplikasyon ve başarı oranlarının değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Yenidoğan Yoğun Bakım Ünitesi’nde farklı tanılarla diyaliz endikasyonu konulan ve periton diyalizi uygulanan bebekler retrospektif olarak değerlendirildi. Çalışmaya toplam 44 bebek dahil edildi. Olgular demografik özellikler, klinik, laboratuvar bulguları, etiyoloji, etkinlik, komplikasyon açısından değerlendirilerek sağkalım ile bu bulgular arasındaki ilişki karşılaştırıldı.Bulgular: Başvuruda saptanan lökosit sayısı, pH ve HCO3 değerleri, primer tanı, izlemde ventilatör gereksinimi, peritonit gelişimi ve günlük ultrafiltrat miktarları ile sağkalım oranları arasında anlamlı ilişki saptandı. Diğer veriler açısından anlamlı ilişki saptanmadı.Sonuç: Akut periton diyaliz uygulamaları yenidoğan döneminde akut böbrek hasarı ve medikal tedaviye yanıtsız metabolik bozukluklarda uygulanabilen basit, güvenli ve etkin bir yöntemdir.

Anahtar Kelimeler

Komplikasyon, periton diyalizi, yenidoğan

Kaynakça

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