| Clinical Observation on Hemodialysis in Children with Chronic Renal Failure. |
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Hae Il Cheong, Yong Choi, Kwang Wook Ko |
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Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea |
| 만성신부전환아에서의 혈액투석에 대한 임상적 고찰 |
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정해일, 최용, 고광욱 |
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서울대학교 의과대학 소아과학교실 |
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Received: 28 December 1987 • Accepted: 31 December 1987 |
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| Abstract |
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There had been total 21 children with end stage renal disease in whom hemodialysis was done in
the pediatric dialysis unit of Seoul National University Children’s Hospital during the period from
1986. 3. 31 to 1987. 11. 30. And we took a retrospective review of their clinical data, and the results
were as follows
1) Primary glomerular disease, H enoch-Schdnlein nephritis, and reflux nephropathy were the
leading causes of chronic renal failure in these patients.
2) Maintenance hemodialysis was done in a frequency of 1 hemodialysis per 2.7 patient day, and
average 1 pint of packed RBC transfusion was required per 21.4 patient day during follow up period.
3) Technical problems including occlusion and/or infection of vascular access were more common
than medical complications among total serious complications associated with hemodialysis, but the
overall incidence of serious complications was minimal.
4) Nearly all of the 8 patients who were followed for more than 1 year had a fall-off in growth
velocity during hemodialysis.
5) On the last follow up, 4 cases expired, 3 showed successful post-renal transplantation state, 2 had
maintained continuous ambulatory peritoneal dialysis and 10 were still on maintenance hemodialysis
in our dialysis unit.
In conclusion, hemodialysis is one of the acceptable long-term therapeutic modality for children
with end stage renal disease. However it is essential to establish adequate support in every aspect for
the better overall quality of life of the patient. |
| Key Words:
Chronic renal failure, End stage renal disease, Hemodialysis, Children |
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