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[肾多囊病与妊娠(作者译)]

[Polycystic disease of the kidneys and pregnancy (author's transl)].

作者信息

Maas D, Schneider J

出版信息

Z Geburtshilfe Perinatol. 1975 Feb;179(1):61-7.

PMID:1154820
Abstract

A summary of pregnancy-developments of patients with polycystic disease of the kidneys is presented. The polycystic disease of the kidneys is a chronic progessive affection which takes both the kidneys in almost every case. The development of this disease can be divided in four stages. During the first, asymptomatic stage there is no disturbance of the pregnancy. In the second stage at the beginning of the decrease of the kidney-function therapy in pregnancy consists in confinement to bed and usual kidney-disease-diet. When complications as chronic recurrent pyelonephritis and hypertension rise and the final stage -- renal failure -- is achieved the pregnancy has to be finished as quick as possible in the early pregnancy by interruption and in the late pregnancy by sectio cesarian. Both methods should be followed by sterilisation of the patient.

摘要

本文总结了多囊肾患者的妊娠发展情况。多囊肾是一种慢性进行性疾病,几乎累及双侧肾脏。该疾病的发展可分为四个阶段。在第一阶段,即无症状阶段,妊娠不受影响。在第二阶段,肾功能开始下降时,孕期治疗包括卧床休息和常规肾病饮食。当出现慢性复发性肾盂肾炎和高血压等并发症并进入终末期——肾衰竭时,妊娠必须尽早终止,早期妊娠通过人工流产,晚期妊娠通过剖宫产。两种方法术后均应对患者进行绝育。

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