Hou S
Rush Medical College, Chicago, Illinois.
Adv Perit Dial. 1993;9:173-6.
This report summarizes the experience with 17 pregnancies in 16 continuous ambulatory peritoneal dialysis (CAPD) patients. Early experience suggests that the outcome of pregnancy in CAPD patients may be better than in hemodialysis patients. Catheter placement can be undertaken during pregnancy with little increased risk. Peritonitis can precipitate premature labor. Blood-tinged dialysate may herald serious obstetric problems. Hypertension, anemia, and prematurity are serious problems in CAPD patients. Cesarean section can be done, with only a brief interruption in CAPD. The major modification of the usual regimen is the need for smaller exchange volumes and increased frequency.
本报告总结了16例持续性非卧床腹膜透析（CAPD）患者的17次妊娠经历。早期经验表明，CAPD患者的妊娠结局可能优于血液透析患者。孕期进行导管置入风险增加不多。腹膜炎可促使早产。血性透析液可能预示严重产科问题。高血压、贫血和早产是CAPD患者的严重问题。剖宫产可以进行，仅需短暂中断CAPD。常规方案的主要调整是需要较小的交换量和增加频率。
