SciELO - Scientific Electronic Library Online

 
vol.72 número6Cierre transcatéter de ductus arterioso persistente con espirales de GianturcoEncuesta telefónica sobre posición al dormir en lactantes menores de un año que asisten a una muestra de salas cuna privadas en Santiago de Chile índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

SAIEH A., Carlos  y  QUINTANA B., Juan. Tumour lysis syndrome: a case treated using peritoneal dialysis. Rev. chil. pediatr. [online]. 2001, vol.72, n.6, pp. 524-527. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062001000600006.

We present a 10 year old girl with acute lymphoblastic leukaemia who inspite of preventative treatment developed an acute tumour lysis syndrome with the administration of chemotherapy. This syndrome is characterized by hyperuricaemia, hyperkalaemia, hyperphosphataemia and oliguria. Conservative treatment was undertaken but it was necessary to initiate peritoneal dialysis because of deteriorating renal function. We choose peritoneal dialysis because of the patients haemodynamic instability and coagulation disorder. Serum uric acid, phosphate, calcium and potassium levels were effectively controlled and urinary volume increased after 3 days of treatment. The pathogenesis and treatment of tumour lysis syndrome are briefly discussed

Palabras clave : tumour; lysis syndrome; acute renal failure; hyperuricaemia; hyperphosphataemia; hyperkalaemia; dialysis.

        · resumen en Español     · texto en Español