J Korean Soc Pediatr Nephrol > Volume 6(2); 2002 > Article
Journal of the Korean Society of Pediatric Nephrology 2002;6(2): 251-258.
소아에서 펌프를 이용한 지속적 정정맥 여과법을 시행한 경험 3례
임연정, 한혜원, 이병선, 박영서
1울산대학교 의과대학 서울아산병원 소아과
2울산대학교 의과대학 서울아산병원 소아과
3울산대학교 의과대학 서울아산병원 소아과
4울산대학교 의과대학 서울아산병원 소아과
The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients
Yean-Jung Lim, Hye-Won Hahn, Byung-Sun Lee, Young-Seo Park
1Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
2Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
3Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
4Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
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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.
Key words: Pump-driven continuous venovenous hemofiltration | Critically ill pediatric patient
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