妊娠期急性肾皮质坏死：临床病程及预后变化

Acute renal cortical necrosis in pregnancy: Clinical course and changing prognosis.

作者信息

Beji Soumaya, Hajji Meriam, Rais Lamia, Kheder Rania, Jebali Hela, Smaoui Wided, Krid Madiha, Ben Hamida F, Ben Fatma Lilia, Zouaghi Mohammed Karim

机构信息

Nephrology Department, La Rabta Hospital, Tunis, Tunisia; Laboratory of Kidney disease LR00SP01, Charles Nicolle Hospital, Tunis, Tunisia.

出版信息

Nephrol Ther. 2017 Dec;13(7):550-552. doi: 10.1016/j.nephro.2016.10.007.

DOI:10.1016/j.nephro.2016.10.007

PMID:29100716

Abstract

Obstetric cortical renal necrosis is a serious complication that can lead to chronic renal failure and the need for chronic dialysis. The aim of renal cortical necrosis therapy is to restore hemodynamic stability, institute early dialytic therapy, and treat the underlying cause of the disease. Most cases of renal cortical necrosis do not recover a normal renal function despite intensive care. We describe the course of a patient who was diagnosed with acute renal cortical necrosis in pregnancy treated with hemodialysis for three years but then she recovered her renal function.

摘要

产科皮质肾坏死是一种严重的并发症，可导致慢性肾衰竭及需要长期透析。肾皮质坏死治疗的目的是恢复血流动力学稳定，尽早开始透析治疗，并治疗疾病的潜在病因。尽管进行了重症监护，但大多数肾皮质坏死病例的肾功能并未恢复正常。我们描述了一名在孕期被诊断为急性肾皮质坏死的患者的病程，她接受了三年的血液透析治疗，但随后肾功能恢复。