Kopsa H, Schmidt P, Friedrich F, Hoffelner L, Mulac K D, Pils P, Balcke P, Zazgornik J
Schweiz Med Wochenschr. 1978 Jul 1;108(26):999-1002.
A 19-year-old nullipara developed uremia due to acute pyelonephritis in the 30th week of pregnancy, necessitating hemodialysis within one week of onset of clinical infective symptoms. Almost daily prophylactic hemodialyses (7 in all) were performed. BUN and serum creatinine levels were maintained below 75 mg/100 ml and 12 ml/100 ml respectively, and the patient's weight was kept constant until delivery in the 32nd week of pregnancy. A live healthy child of 1.7 kg was born with a length of 39 cm and a normal neurologic examination. After 10 hemodialyses, polyuria set in and the maternal BUN and serum creatinine levels were within normal ranges 3 weeks after delivery. The importance of close cooperation between gynecologist and internist is stressed.
一名19岁未产妇在妊娠30周时因急性肾盂肾炎发展为尿毒症，在临床感染症状出现后一周内即需进行血液透析。几乎每天都进行预防性血液透析（共7次）。血尿素氮（BUN）和血清肌酐水平分别维持在75mg/100ml和1.2mg/100ml以下，患者体重保持恒定，直至妊娠32周分娩。分娩出一个体重1.7kg、身长39cm的健康活婴，神经检查正常。进行10次血液透析后出现多尿，产后3周产妇的BUN和血清肌酐水平恢复正常。强调了妇科医生和内科医生密切合作的重要性。
