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腹膜透析患者妊娠:一例病例报告及充分性与结局的综述

Pregnancy in peritoneal dialysis: a case report and review of adequacy and outcomes.

作者信息

Smith William T, Darbari Shabnam, Kwan Mindy, O Reilly-Green Christopher, Devita Maria V

机构信息

Division of Nephrology, Lenox Hill Hospital, 100 East 77th Street, New York, NY 10021, USA.

出版信息

Int Urol Nephrol. 2005;37(1):145-51. doi: 10.1007/s11255-004-2312-0.

Abstract

A case of pregnancy in a 27-year-old woman on peritoneal dialysis is presented. The case report is a detailed description of her course including changes in her peritoneal dialysis regimen and the use of continuous cycling to maximize dialysis adequacy while addressing the patient's recurrent abdominal pain and fullness. Also described is the management of complications including hypertension, gestational diabetes, and premature rupture of membranes. The discussion reviews the diagnosis of pregnancy, factors that may relate to outcome, and a detailed comparison of pregnancy outcomes in patients on dialysis to the general population.

摘要

本文介绍了一名27岁接受腹膜透析的女性怀孕的病例。病例报告详细描述了她的病程,包括腹膜透析方案的变化以及使用持续循环以在解决患者反复出现的腹痛和腹胀问题的同时最大化透析充分性。还描述了并发症的管理,包括高血压、妊娠期糖尿病和胎膜早破。讨论回顾了妊娠的诊断、可能与结局相关的因素,以及透析患者与普通人群妊娠结局的详细比较。

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