Avar Z, Gerö G, Hajagos E
Acta Chir Acad Sci Hung. 1980;21(3):203-11.
Pyelonephritis during pregnancy was found to have a higher incidence when the patient's history contained some indication of an earlier renal disease. Pregnancy associated with chronic nephritis has to be interrupted in the first trimester as the particular conditions of pregnancy predispose to pyelonephritis. Provided pregnancy pyelonephritis is diagnosed and treated early enough the incidence of intrauterine fetal death, premature, birth and perinatal fetal loss will not be higher than the average, but developmental retardation has a slightly higher incidence. The degree of renal disturbance not only increase the probability of pyelonephritis but also the damage suffered by the mother and fetus. The prevention of inflammatory renal and appropriate treatment of inflammatory renal diseases and the constant control of the patient is the task of prenatal and nephrological care, so as to avoid early and late complications.
研究发现，若患者病史中有早期肾脏疾病的某些迹象，则孕期肾盂肾炎的发病率较高。妊娠合并慢性肾炎时，由于妊娠的特殊情况易引发肾盂肾炎，因此必须在孕早期终止妊娠。若妊娠肾盂肾炎能得到足够早的诊断和治疗，宫内胎儿死亡、早产及围产期胎儿丢失的发生率不会高于平均水平，但发育迟缓的发生率略高。肾脏功能紊乱的程度不仅会增加肾盂肾炎的发病几率，还会加重母亲和胎儿所遭受的损害。预防炎性肾脏疾病并对其进行适当治疗，持续对患者进行监测，是产前护理和肾病护理的任务，以避免早期和晚期并发症的发生。
