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肾移植受者的为人父母情况。

Parenthood in renal homograft recipients.

作者信息

Penn I, Makowski E, Droegemueller W, Halgrimson C G, Starzl T E

出版信息

JAMA. 1971 Jun 14;216(11):1755-61.

Abstract

Nineteen male recipients of renal homografts were responsible for 23 pregnancies, resulting so far in 19 live births and one abortion; three additional wives have not yet been delivered of infants. Eighteen of the 19 infants were normal; the abnormal infant had a myelomeningocele and other anomalies. Eight female recipients have become pregnant ten times. Two of the pregnancies were terminated with therapeutic abortions, and two more are in progress. The other six resulted in live births. There were only two infants with a completely uncomplicated neonatal period. One premature baby died a few hours after birth from hyaline membrane disease. The other five survived, but one had pulmonary valvular stenosis, two had evidence of transient adrenocortical insufficiency plus lymphopenia, and one child had the respiratory distress syndrome. Renal function of three mothers underwent deterioration during pregnancy, but was restored after its termination

摘要

19名接受同种异体肾移植的男性致使其妻子怀孕23次,目前已生育19名活婴,1例流产;另有3名妻子尚未分娩。19名婴儿中有18名正常;异常婴儿患有脊髓脊膜膨出及其他畸形。8名接受移植的女性怀孕10次。其中2次妊娠经治疗性流产终止,另有2次妊娠仍在继续。其余6次妊娠均分娩出活婴。仅有2名婴儿新生儿期完全无并发症。1名早产儿出生后数小时死于肺透明膜病。其他5名存活,但其中1名有肺动脉瓣狭窄,2名有短暂性肾上腺皮质功能不全及淋巴细胞减少的迹象,1名儿童患有呼吸窘迫综合征。3名母亲的肾功能在孕期恶化,但产后恢复。

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