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Knowledge of information of Kidney failure,and effect.The progress of information of Kidney failure.

In recent years due to the development of economy and the environment changes, the incidence of renal failure increased. Due to the rapid development of blood purification equipment and technology, children's blood purification applications gradually widened, treatment of the disease increased obviously. Case fatality rate of acute and chronic renal failure patients significantly decreased. The children's blood purification methods should be selected considering the patient's state of the primary disease, clinical and hospital equipment conditions and kidney professional personnel training. Peritoneal dialysis is relatively simple, suitable for baby's simple renal failure and technical conditions are not allowed to do hemodialysis or continuous renal replacement therapy. Intermittent hemodialysis in the treatment of acute renal failure, hyperkalemia, when the first choice. Continuous renal replacement therapy for children with critical condition provides a safe and effective renal replacement therapy. Blood purification in pediatric there will be more broad prospects for development. The presence of the children's blood purification therapy lowered the rate of acute and chronic renal failure. In recent years, due to the change of the development of economy and environment. The onset of renal failure increased. Due to the rapid development of blood purification equipment and technology, children's blood purification applications gradually widened, chronic kidney disease(ckd) treatment treatment of the disease increased obviously. We have the common method to children blood purification and features of a simple introduction. 1. Hemodialysis: hemodialysis is currently the acute and chronic renal failure is the most effective treatment for children and one of the most common application of blood purification measures. Although has established some guidelines of diagnosis and treatment of end-stage renal disease, but children hemodialysis perfect dialysis dose and effect evaluation did not form a unified understanding. At present domestic pediatric hemodialysis blood flow for 3 ~ 5 iill kg. Min ~, ultrafiltration target no more than 5% of body weight, Europe suggest that blood flow can reach 68 ml kg called min ~, ultrafiltration under blood volume monitoring can be up to 10% of the weight of the dialyzer area should not be more than the patient's body surface area, 3 to 5 ml kg urea clearance - 1 min - 1. 2. The intermittent hemodialysis: the main advantage of the intermittent hemodialysis is able to quickly remove the solute and ultrafiltration water, more suitable for the treatment of severe overloading capacity, congenital abnormal metabolism, life-threatening hyperkalemia and acute poisoning. Hemodialysis has its limits, however, it needs to establish a good vascular access; Need to have professional technical personnel, including specialized nursing staff; For infants and young children, because blood dialysis quick removal of water and solute, disagrees with hemodynamic instability of children, and may cause imbalance syndrome, low blood pressure, etc. In recent years, in order to reduce dialysis complications, kidney failure(renal failure) treatment adjustable sodium dialysis J, dialysis in low temperature "1 also applied in pediatric clinical, confirmed can reduce dialysis hypotension.

3. A short daily dialysis (daily hemodialysis) : for every day of DOI: 10.3760 / cma. J.J. Am 16734238.2009.04.004 toxins and moisture removal more accord with the physiological, dialysis, interphase mass change is small, influence on the effective blood volume smaller, so children are more likely to tolerance, to reduce complications. Reportedly can reduce the dosage of epo, improve the quality of life, for the future development of medical provides the theoretical foundation, such as family dialysis, remote control. At present home and abroad on children; Daily dialysis therapy for some preliminary studies, the results confirmed that dialysis complications can be reduced, the kidney function recovery time shortened, can improve the patient's quality of life. 4. Night home dialysis: family abroad study cases confirmed night dialysis is feasible and safe in children, and can improve the patient's quality of life. Due to safety considerations and the burden of parents, children in the children's experience in long-term application of were rare.

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