Gadallah M F, Ahmad B, Karubian F, Campese V M
Division of Nephrology, Los Angeles County/University of Southern California Medical Center.
Am J Kidney Dis. 1992 Oct;20(4):407-10. doi: 10.1016/s0272-6386(12)70308-6.
Both conception and successful completion of pregnancy are rare occurrences in female patients on chronic renal replacement therapy. Only a handful of successful pregnancies and deliveries have been reported in patients receiving hemodialysis (HD). Even less common are reports of successful pregnancy and delivery in patients receiving chronic ambulatory peritoneal dialysis (CAPD). Among the more common causes of fetal loss are abruptio placentae and other causes of spontaneous miscarriage. We report here three cases of pregnancy in patients on CAPD; two of these pregnancies progressed successfully to spontaneous delivery, while the third terminated during an episode of acute peritonitis. Furthermore, we have reviewed the literature concerning the outcome of pregnancy in the dialysis population on CAPD.
对于接受慢性肾脏替代治疗的女性患者而言，受孕及成功完成妊娠均属罕见情况。接受血液透析（HD）的患者中，仅有少数成功妊娠及分娩的报道。而接受持续性非卧床腹膜透析（CAPD）的患者成功妊娠及分娩的报道则更为少见。胎盘早剥及其他自然流产原因是导致胎儿丢失的较为常见原因。我们在此报告3例CAPD患者妊娠的病例；其中2例妊娠成功自然分娩，而第3例在急性腹膜炎发作期间终止妊娠。此外，我们还回顾了有关CAPD透析人群妊娠结局的文献。
