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晚期产后肾衰竭的临床病理谱:两例对比病例

Clinicopathological spectrum of late postpartum renal failure; two contrasting cases.

作者信息

Ford P M, Levison D A, Down P F, McConnell J B

出版信息

J Clin Pathol. 1976 Feb;29(2):101-10. doi: 10.1136/jcp.29.2.101.

DOI:10.1136/jcp.29.2.101
PMID:777031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC475986/
Abstract

The clinical and renal biopsy findings from two patients in whom renal functional abnormalities developed in the late postpartum period are described. Both biopsies showed fibrin deposition in the renal vasculature, in one case marked and in the other mild. The patient with the more severely damaged kidney subsequently died, and the other is alive but with evidence of slowly progressing renal damage. The clinicopathological spectrum and pathogenesis of late postpartum renal failure are discussed.

摘要

本文描述了两名患者在产后晚期出现肾功能异常的临床及肾活检结果。两次活检均显示肾血管中有纤维蛋白沉积,一例明显,另一例轻微。肾脏受损更严重的患者随后死亡,另一例存活,但有肾脏缓慢进展性损害的证据。本文还讨论了产后晚期肾衰竭的临床病理谱及发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d52/475986/67be9041c1f7/jclinpath00148-0020-a.jpg
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1
Clinicopathological spectrum of late postpartum renal failure; two contrasting cases.晚期产后肾衰竭的临床病理谱:两例对比病例
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引用本文的文献

1
[Clinical aspects of the hemolytic-uremic syndrome].[溶血尿毒综合征的临床方面]
Klin Wochenschr. 1979 Oct 1;57(19):1081-4. doi: 10.1007/BF01479994.

本文引用的文献

1
Influence of ovarian function on the fibrinolytic enzyme system. II. Influence of exogenous steroids.卵巢功能对纤维蛋白溶解酶系统的影响。II. 外源性类固醇的影响。
Am J Obstet Gynecol. 1961 Dec;82:1216-20. doi: 10.1016/s0002-9378(16)36243-3.
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ACUTE RENAL FAILURE OF OBSTETRIC ORIGIN: AN ANALYSIS OF 70 PATIENTS.产科源性急性肾衰竭:70例患者分析
Lancet. 1965 Aug 21;2(7408):351-4. doi: 10.1016/s0140-6736(65)90337-5.
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SYNTOCINON IN THE DIFFERENTIAL DIAGNOSIS OF ACUTE OLIGURIA.合成缩宫素在急性少尿的鉴别诊断中的应用
Obstet Gynecol. 1964 Feb;23:242-6.
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Vasopressor activity of ergometrine maleate in anaesthetized parturient women.马来酸麦角新碱在麻醉产妇中的血管升压活性
Br Med J. 1963 Mar 2;1(5330):585-8. doi: 10.1136/bmj.1.5330.585.
5
Studies on the character and staining of fibrin.纤维蛋白的特性及染色研究。
J Clin Pathol. 1962 Sep;15(5):401-13. doi: 10.1136/jcp.15.5.401.
6
Irreversible post-partum renal failure. A new syndrome.不可逆性产后肾衰竭。一种新综合征。
Q J Med. 1968 Jul;37(147):423-35.
7
Accelerated nephrosclerosis and postpartum acute renal failure in normotensive patients.血压正常患者的加速性肾硬化和产后急性肾衰竭
Ann Intern Med. 1968 Aug;69(2):237-48. doi: 10.7326/0003-4819-69-2-237.
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Post-partum renal failure. The generalized Shwartzman reaction. Three further cases and a review.产后肾衰竭。全身性施瓦茨曼反应。另外三例病例及文献综述。
Australas Ann Med. 1969 Aug;18(3):209-16. doi: 10.1111/imj.1969.18.3.209.
9
Fatal late postpartum intravascular coagulation with acute renal failure.致命性晚期产后血管内凝血伴急性肾衰竭。
Am J Med Sci. 1969 Apr;257(4):259-73. doi: 10.1097/00000441-196904000-00007.
10
Effect of bilateral nephrectomy in postpartum nephrosclerosis.双侧肾切除术对产后肾硬化症的影响。
Arch Intern Med. 1971 Sep;128(3):448-52.