Department of Medicine, University of California, UCSF campus box 0126, rm M1202, San Francisco, CA 94143, USA.
Int Urol Nephrol. 2010 Mar;42(1):233-7. doi: 10.1007/s11255-009-9671-5. Epub 2009 Nov 13.
Pregnancy in chronic dialysis patients is unusual and associated with many complications. Infants are often born both prematurely and small for gestational age. We report a case of a 36-year-old diabetic hemodialysis patient G4P3 who had prolonged hyperemesis gravidarum, for whom intradialytic parenteral nutrition (IDPN) was started at week 14 and continued throughout her pregnancy. She delivered a 3.5-kg baby girl at the 36th week of gestation by cesarean section. We discuss the use of IDPN as adjunct therapy for pregnant dialysis patients.
慢性透析患者妊娠并不常见,且常伴有多种并发症。胎儿多为早产且小于胎龄儿。我们报告了 1 例 36 岁糖尿病血液透析患者 G4P3,其患有持续性妊娠剧吐,于妊娠第 14 周开始接受透析中静脉营养(IDPN)治疗,并持续整个孕期。她于妊娠 36 周行剖宫产娩出 1 名 3.5kg 女婴。我们讨论了 IDPN 作为妊娠透析患者辅助治疗的应用。