|
| 소아 급성신부전의 임상적 고찰 |
| 이인재 , 김병길 , 이재승 |
|
|
| Abstract |
|
A clinical study conducted on 169 children with acute renal failure, who had been admitted to the Department of Pediatrics, Yonsei University Severance Hospital between Jan. 1978 and Jun. 1987, revealed the following results. 1) They comprised 7.5% of all pediatric kidney patients. 2) Among the patients with prerenal causes, 71% were under 5 years of age, while 77% of the children with renal causes were over 6 years of age. 3) The most common causes of acute renal failure in neonates were sepsis and DIC, while in children over 6 years of age, acute glomerulonephritis was the most common cause. 4) The overall recovery rate was 60%, and the recovery rate in cases of renal cause was 78%, higher than that of prerenal renal failure. This is due to the fact that acute glomerulonephritis, which has a good prognosis, comprised the majority of cases in intrinsic renal failure. 5) The mortality rate of during the neonatal period was 69%, the highest among all age groups. 6) The recovery rate in patietns who had undergone peritoneal dialysis was 64%. When compared with those cases severe enough to necessitate peritoneal dialysis but treated only with conservative methods, it was obvious that peritoneal dialysis was the better method of therapy in acute renal failure. 7) If socio-economic conditions allow and the number of patients discontinuing treatment against their physi- cian's advice decreases, then one might anticipate im- proved treatment results. |
|
PDF Links
Download Citation
