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一名患有HELLP综合征的患者出现急性肾衰竭——子痫的一种罕见并发症。

Acute renal failure in a patient with HELLP syndrome--an unusual complication of eclampsia.

作者信息

Ghosh A K, Vashisht K, Varma S, Khullar D, Sakhuja V

机构信息

Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ren Fail. 1994;16(2):295-8. doi: 10.3109/08860229409044869.

DOI:10.3109/08860229409044869
PMID:8041968
Abstract

Acute renal failure occurring in a 24-year-old primigravida with eclampsia and HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome is described. She also had transient disseminated intravascular coagulation. Hemodialysis, fresh blood transfusions, and antihypertensive therapy were administered, and resulted in complete recovery. Kidney biopsy revealed acute tubular necrosis.

摘要

本文描述了一名24岁初产妇,患有子痫和HELLP(溶血、肝酶升高、血小板减少)综合征,并出现急性肾衰竭。她还伴有短暂性弥散性血管内凝血。给予了血液透析、新鲜血液输注和抗高血压治疗,最终完全康复。肾活检显示为急性肾小管坏死。

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Acute renal failure in a patient with HELLP syndrome--an unusual complication of eclampsia.一名患有HELLP综合征的患者出现急性肾衰竭——子痫的一种罕见并发症。
Ren Fail. 1994;16(2):295-8. doi: 10.3109/08860229409044869.
2
Pathogenesis of acute renal failure associated with the HELLP syndrome: a case report and review of the literature.与HELLP综合征相关的急性肾衰竭的发病机制:一例病例报告及文献综述
Eur J Obstet Gynecol Reprod Biol. 2003 May 1;108(1):99-102. doi: 10.1016/s0301-2115(02)00352-4.
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Renal histopathology of prolonged acute kidney injury in HELLP syndrome: a case series and literature review.HELLP 综合征中迁延性急性肾损伤的肾脏组织病理学:病例系列及文献复习。
Int Urol Nephrol. 2019 Jun;51(6):987-994. doi: 10.1007/s11255-019-02135-z. Epub 2019 Apr 15.
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Unusual presentation of mesangial proliferative glomerulonephritis in HELLP syndrome associated with acute renal failure.伴有急性肾衰竭的HELLP综合征中系膜增生性肾小球肾炎的不典型表现。
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Permanent visual deficits secondary to the HELLP syndrome.继发于HELLP综合征的永久性视力缺陷。
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[Brain stem involvement in eclampsia and HELLP syndrome].
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[Reversible severe ventricular dysfunction in female patient with eclampsia and HELLP syndrome].[子痫和HELLP综合征女性患者的可逆性严重心室功能障碍]
Rev Esp Cardiol. 1996 Nov;49(11):858-60.
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Outcome of pregnancies with HELLP syndrome complicated by acute renal failure (1989-1999).1989 - 1999年伴有急性肾衰竭的HELLP综合征妊娠结局
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Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome).442例溶血、肝酶升高和血小板减少综合征(HELLP综合征)孕妇的孕产妇发病率和死亡率。
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引用本文的文献

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Acute kidney injuries induced by thrombotic microangiopathy following severe hemorrhage in puerperants: a case series and literature review.产后严重出血后血栓性微血管病所致急性肾损伤:病例系列及文献综述
Am J Transl Res. 2021 Jun 15;13(6):6182-6190. eCollection 2021.
2
Effect of HELLP syndrome on acute kidney injury in pregnancy and pregnancy outcomes: a systematic review and meta-analysis.HELLP综合征对妊娠期急性肾损伤及妊娠结局的影响:一项系统评价和荟萃分析
BMC Pregnancy Childbirth. 2020 Oct 30;20(1):657. doi: 10.1186/s12884-020-03346-4.
3
Renal histopathology of prolonged acute kidney injury in HELLP syndrome: a case series and literature review.
HELLP 综合征中迁延性急性肾损伤的肾脏组织病理学:病例系列及文献复习。
Int Urol Nephrol. 2019 Jun;51(6):987-994. doi: 10.1007/s11255-019-02135-z. Epub 2019 Apr 15.
4
Pregnancy-induced atypical haemolytic uremic syndrome: A new era with eculizumab.妊娠诱发的非典型溶血性尿毒症综合征:依库珠单抗开启的新时代。
Obstet Med. 2018 Mar;11(1):28-31. doi: 10.1177/1753495X17704563. Epub 2017 May 18.