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January 1968

Renal Failure in the Newborn: Treatment With Peritoneal Dialysis

Author Affiliations

Brooklyn. NY
From the Maimonides Medical Center and Department of Pediatrics, Downstate Medical Center, State University of New York, Brooklyn.

Am J Dis Child. 1968;115(1):107-110. doi:10.1001/archpedi.1968.02100010109021

THIS REPORT DESCRIBES a premature newborn infant with anuria and uremia who was successfully treated with peritoneal dialysis. Most of the reported infants subjected to this procedure were dialyzed to remove poisons1 or to treat renal failure due to diarrhea with dehydration.2 Peritoneal dialysis has been reported in only one neonate with renal failure.3 Possible causes of anuria in the neonate include severe hypoxia, septicemia, circulatory failure, bilateral cortical necrosis, congenital anomalies, and renal vein thrombosis.

Report of a Case  This 2,440.25 gm (5 lb 6 oz) baby girl was delivered by low forceps after 36 weeks gestation to a 20-year-old primigravida at 4:40 pm on March 28, 1966. During the last trimester of pregnancy the mother gained 31 lb. A low sodium diet and chlorothiazide were prescribed. Just prior to delivery her blood pressure was 130/100 and she showed slight pedal edema. No history of diabetes

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