妊娠期肾动脉瘤破裂

IF 0.4 Q4 OBSTETRICS & GYNECOLOGY South African Journal of Obstetrics and Gynaecology Pub Date : 2020-12-15 DOI:10.7196/SAJOG.1552
N. Mdlalose, T. L. Khumalo
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引用次数: 0

摘要

肾动脉瘤是一种罕见的疾病,发病率约为0.01-1%。在怀孕期间,这种情况很少见,但死亡率很高。妊娠期的易感因素被认为是生理、激素和血液动力学因素。临床诊断需要高度怀疑,因为患者在破裂前通常没有症状。临床表现通常模仿其他常见的产科疾病,如分娩、子宫破裂或胎盘早剥。在腹腔内出血的剖腹手术中,当没有发现明显的产科原因时,彻底寻找出血源是至关重要的。我们报告了一例慢性高血压患者在分娩初期因肾动脉瘤破裂而死亡的产妇。
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Ruptured renal artery aneurysm in pregnancy
Renal artery aneurysm is a rare condition, the incidence being ~0.01 - 1%. In pregnancy this condition is rare but carries a significant mortality. Predisposing factors in pregnancy are thought to be physiological, hormonal and haemodynamic. Clinical diagnosis requires a high level of suspicion, as patients are usually asymptomatic prior to rupture. The clinical presentation often mimics other common obstetric conditions such as labour, uterine rupture or placental abruption. It is essential at laparotomy in cases of intra-abdominal bleeding that a thorough search is made for the source of blood loss when no obvious obstetric cause is found. We report a case of a maternal death that was due to rupture of a renal artery aneurysm in the immediate peripartum period in a patient with chronic hypertension.
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来源期刊
South African Journal of Obstetrics and Gynaecology
South African Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
5
审稿时长
15 weeks
期刊介绍: The SAJOG is a tri-annual, general specialist obstetrics and gynaecology journal that publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. The journal carries original research articles, editorials, clinical practice, personal opinion, South Africa health-related news, obituaries and general correspondence.
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