Love W K, Robinette M A, Vernon C P
J Urol. 1981 Dec;126(6):809-11. doi: 10.1016/s0022-5347(17)54759-x.
Acute rupture of a renal artery aneurysm is more likely to occur during pregnancy and when it does there is an associated high mortality for the mother and child. Increased blood flow and intra-abdominal pressure, and vascular changes secondary to increased steroid production are postulated as contributory to the increased risk of rupture during pregnancy. When a renal artery aneurysm is discovered in a woman of childbearing age surgical treatment, preferably primary repair, is indicated to prevent subsequent rupture during pregnancy. We report on a mother and child who survived acute rupture of a renal artery aneurysm following treatment by primary repair.
肾动脉动脉瘤急性破裂在孕期更易发生，一旦发生，母婴均有较高的死亡风险。血流量增加、腹内压升高以及类固醇分泌增加继发的血管变化被认为是孕期破裂风险增加的原因。当在育龄女性中发现肾动脉动脉瘤时，建议进行手术治疗，最好是一期修复，以防止孕期后续破裂。我们报告了一对母婴，在接受一期修复治疗后，成功度过了肾动脉动脉瘤急性破裂期。
