Sivasuthan Goutham, Dahwa Rumbi, John George T, Ranganathan Dwarakanathan
School of Medicine, The University of Queensland, Brisbane, QLD 4027, Australia.
Department of Nephrology, Royal Brisbane and Women's Hospital, Queensland Health, Butterfield Street, Herston, QLD 4029, Australia.
Case Rep Med. 2013;2013:923581. doi: 10.1155/2013/923581. Epub 2013 Nov 20.
Female patients with systemic lupus erythematosus are often of childbearing age at diagnosis, and though fertility in these patients is similar to the general population, successful pregnancy remains a rare occurrence. This incidence is, however, increasing and the management of these high risk pregnancies is often further complicated by the patient's need for dialysis as a result of lupus nephritis (LN). We share our experience in managing two LN patients with successful pregnancies, one on automated peritoneal dialysis and the other on haemodialysis, as well as a review of cases in the literature.
系统性红斑狼疮女性患者在确诊时往往处于育龄期,尽管这些患者的生育能力与普通人群相似,但成功妊娠仍然很少见。然而,这种发生率正在上升,由于狼疮性肾炎(LN)患者需要透析,这些高危妊娠的管理往往更加复杂。我们分享了我们管理两名LN患者成功妊娠的经验,一名患者接受自动腹膜透析,另一名患者接受血液透析,同时还对文献中的病例进行了综述。