What is pediatric dialysis imbalance syndrome?

summary

A colleague of mine has just asked for leave to give birth to a baby. A few days ago, he just gave birth to a baby. However, the baby seems to have something wrong. The doctor took him to dialysis treatment. Then today, the news suddenly came that the baby suddenly suffered from pediatric dialysis imbalance syndrome. Now the family is very sad. What's the matter with this disease.

What is pediatric dialysis imbalance syndrome?

Dialysis imbalance syndrome is also known as imbalance syndrome. After hemodialysis (usually only refers to artificial kidney dialysis), it is caused by the over speed of body fluid volume and chemical osmotic balance correction caused by effective dialysis, which affects the balance of intracellular and extracellular osmotic pressure, and causes a series of symptoms not directly related to renal failure itself.

The relieved symptoms reappeared shortly or 48 hours after dialysis, and the relieved symptoms reappeared, including headache, nausea, vomiting, confusion, convulsion, coma and even death. The symptoms were not improved, and the superfluous poison was eliminated, but the clinical symptoms were not improved. Pathological reflex was positive and intracranial pressure was increased.

The clinical manifestation and laboratory examination can help to differentiate it from renal failure and uremia. Uremia is not an independent disease, but a group of clinical syndrome. In the end stage of chronic renal failure, the three major functions of the kidney are lost, and a series of symptoms and metabolic disorders appear, resulting in uremia. The diagnosis of uremia depends not only on the level of serum creatinine, but also on the clinical manifestations of the above systems. In the early stage of chronic renal insufficiency, there are only symptoms of primary disease in clinic, and the decrease of creatinine clearance rate can only be seen in the examination. These patients in uremic compensatory stage often suffer from sudden deterioration of renal function and uremic symptoms (i.e. the clinical manifestations of various systems mentioned above) under stress, which is clinically called reversible uremia. However, once the stress factors are removed, renal function can often return to compensatory stage. If the condition develops to the point where the "surviving" nephron can not meet the minimum requirements of the body, even if there is no stress factor, the uremic symptoms will gradually appear. In different patients, the symptoms of uremia may not be the same, and the time of each system symptoms is not the same.

matters needing attention

Pay attention to the daily life of dialysis patients, prevent infection, develop good health habits. Do a good job in diet control, limit salt and water appropriately, avoid high potassium and high phosphorus food intake. Measure blood pressure on time and record. Cooperate with drugs and other supportive treatment, control the growth of blood pressure, keep hemoglobin at normal or near normal level. Observe the color of stool and urine, and whether there are bleeding spots on the skin, If there is any emergency and discomfort, contact the dialysis center immediately.