医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
25期
172-173
,共2页
产科%急性肾功能衰竭%妊娠%妊高征
產科%急性腎功能衰竭%妊娠%妊高徵
산과%급성신공능쇠갈%임신%임고정
Gynecology%acute renal failure%pregnancy%pregnancy induced hypertension syndrome
目的：分析产科急性肾功能衰竭的发病机理及治疗、预后方法。方法：对产科急性肾功能衰竭患者共46例的临床分析及治疗病例资料进行回顾性分析统计，探讨产科急性肾功能衰竭的病因、妊娠分期特点、治疗方式及效果等等。结果：ARF病因：产后大出血4例，宫腔感染5例，妊高征10例，妊娠急性脂肪肝12例，胎盘早剥5例，HELLP综合征7例，溶血尿毒综合征3例；治疗过程中接受血液净化：产后大出血0例，宫腔感染4例，妊高征3例，妊娠急性脂肪肝9例，胎盘早剥2例，HELLP综合征4例，溶血尿毒综合征3例；行子宫切除术：产后大出血、宫腔感染、HELLP综合征均为2例，妊娠急性脂肪肝7例，溶血尿毒综合征1例。HD组与非HD组综合治疗效果对比无明显差异（P＞0.05）。结论：产科ARF病因复杂、病情危急，需针对病症实际展开分析，及时、有效救治，确保母婴生命安全。
目的：分析產科急性腎功能衰竭的髮病機理及治療、預後方法。方法：對產科急性腎功能衰竭患者共46例的臨床分析及治療病例資料進行迴顧性分析統計，探討產科急性腎功能衰竭的病因、妊娠分期特點、治療方式及效果等等。結果：ARF病因：產後大齣血4例，宮腔感染5例，妊高徵10例，妊娠急性脂肪肝12例，胎盤早剝5例，HELLP綜閤徵7例，溶血尿毒綜閤徵3例；治療過程中接受血液淨化：產後大齣血0例，宮腔感染4例，妊高徵3例，妊娠急性脂肪肝9例，胎盤早剝2例，HELLP綜閤徵4例，溶血尿毒綜閤徵3例；行子宮切除術：產後大齣血、宮腔感染、HELLP綜閤徵均為2例，妊娠急性脂肪肝7例，溶血尿毒綜閤徵1例。HD組與非HD組綜閤治療效果對比無明顯差異（P＞0.05）。結論：產科ARF病因複雜、病情危急，需針對病癥實際展開分析，及時、有效救治，確保母嬰生命安全。
목적：분석산과급성신공능쇠갈적발병궤리급치료、예후방법。방법：대산과급성신공능쇠갈환자공46례적림상분석급치료병례자료진행회고성분석통계，탐토산과급성신공능쇠갈적병인、임신분기특점、치료방식급효과등등。결과：ARF병인：산후대출혈4례，궁강감염5례，임고정10례，임신급성지방간12례，태반조박5례，HELLP종합정7례，용혈뇨독종합정3례；치료과정중접수혈액정화：산후대출혈0례，궁강감염4례，임고정3례，임신급성지방간9례，태반조박2례，HELLP종합정4례，용혈뇨독종합정3례；행자궁절제술：산후대출혈、궁강감염、HELLP종합정균위2례，임신급성지방간7례，용혈뇨독종합정1례。HD조여비HD조종합치료효과대비무명현차이（P＞0.05）。결론：산과ARF병인복잡、병정위급，수침대병증실제전개분석，급시、유효구치，학보모영생명안전。
Objective: To explore the pathogenesis of severe acute renal failure, prognosis and treatment method. Methods: a retrospective analysis was performed on statistical obstetric patients with acute renal failure is a clinical analysis of 46 cases of clinical data and treatment. Results: ARF: causes of postpartum hemorrhage in 4 cases, 5 cases of intrauterine infection, 10 patients with PIH, 12 cases of acute fatty liver of pregnancy, placental abruption in 5 cases, 7 cases of HELLP syndrome, 3 cases of hemolytic uremic syndrome; blood purification treatment process: postpartum hemorrhage in 0 cases, 4 cases intrauterine infection, 3 patients with PIH, 9 cases of acute fatty liver of pregnancy, placental abruption in 2 cases, 4 cases of HELLP syndrome, 3 cases of hemolytic uremic syndrome; hysterectomy: postpartum hemorrhage, uterine cavity infection, HELLP syndrome was 2 cases, 7 cases of acute fatty liver of pregnancy, 1 cases of hemolytic uremic syndrome. No significant difference between HD group and non HD group comprehensive treatment effect ( P> 0.05). Conclusion: obstetric ARF complex etiology, in critical condition, according to the actual need of disease, timely, effective treatment, ensure maternal and child safety.
