[Successful peritoneal dialysis in a premature infant with a birth weight of 850 grams--a case report].
A very low birth weight (850 g) premature infant developed a life threatening hyperkalemia and cardiac dysrhythmia on the first day of life. Standard treatment of hyperkalemia with calcium, dextrose-insulin, sodium-polystyrene sulfonate was ineffective. Therefore peritoneal dialysis was performed, which rapidly lowered the plasma potassium concentration from 10 to 5 mEq/l. The baby is now nine months old and physically and mentally well developed. This case report should encourage the prompt decision for a peritoneal dialysis even in the very low birth weight infant if dangerous metabolic derangements are otherwise unamenable to treatment.
D001724:Birth Weight; D005117:Cardiac Complexes, Premature / Q000628:therapy; D005865:Gestational Age; D006801:Humans; D006947:Hyperkalemia / Q000628:therapy*; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000628:therapy*; D010530:Peritoneal Dialysis; D013610:Tachycardia / Q000628:therapy
Erfolgreiche Peritonealdialyse bei einem Frühgeborenen mit 850 Gramm Geburtsgewicht--Eine Kasuistik.