Three neonates safely treated with continuous hemodialysis

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  • Yazaki Junji
    Department of Urology, Fukushima Medical University School of Medicine
  • Yanagida Tomohiko
    Department of Urology, Fukushima Medical University School of Medicine
  • Oguro Toshiki
    Department of Urology, Fukushima Medical University School of Medicine
  • Kataoka Masao
    Department of Urology, Fukushima Medical University School of Medicine
  • Sagawa Kouji
    Department of Urology, Fukushima Medical University School of Medicine
  • Shiraiwa Manabu
    Department of Urology, Fukushima Medical University School of Medicine
  • Sakai Takio
    Department of Urology, Fukushima Medical University School of Medicine
  • Kushida Nobuhiro
    Department of Urology, Fukushima Medical University School of Medicine
  • Matsuoka Toshimitsu
    Department of Urology, Fukushima Medical University School of Medicine
  • Nomiya Masanori
    Department of Urology, Fukushima Medical University School of Medicine
  • Shishido Keiichi
    Department of Urology, Fukushima Medical University School of Medicine
  • Aikawa Ken
    Department of Urology, Fukushima Medical University School of Medicine
  • Yamaguchi Osamu
    Department of Urology, Fukushima Medical University School of Medicine
  • Ariga Hiromichi
    Department of Pediatrics, Fukushima Medical University School of Medicine
  • Gou Hayato
    Department of Pediatrics, Fukushima Medical University School of Medicine

Bibliographic Information

Other Title
  • 新生児に対し緩徐血液透析を安全に施行し得た３症例
  • 症例報告 新生児に対し緩徐血液透析を安全に施行し得た3症例
  • ショウレイ ホウコク シンセイジ ニ タイシ カンジョ ケツエキ トウセキ オ アンゼン ニ シコウ シエタ 3 ショウレイ

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Abstract

We report three neonates treated with continuous hemodialysis. The first case was a 5-day-old infant who demonstrated hyperammonemia due to a urea cycle disorder. After treatment with continuous hemodialysis (CHD) for 48 hours, he recovered from hyperammonemia and was able to be removed from HD. The second case was a 3-day-old infant with transient hyperammonemia. He was treated with CHD for 40 hours and was then removed from HD. The third case involved severe neonatal asphyxia. Although he was effectively treated with CHD for 9 days, he was not able to survive. In the future, as the survival rate of neonates improves, it is expected that the number of infants treated with hemodialysis, as in our three cases, will increase. It is necessary that safer and more effective hemodialysis become an established therapy.

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