产科并发症中的急性肾衰竭。

Biological research in pregnancy and perinatology Pub Date : 1987-10-01 DOI:10.1097/00006254-198710000-00008

P. Stratta, C. Canavese, L. Colla, M. Dogliani, M. Messina, P. Gabella, F. Gagliardi, T. Todros, G. M. Bianchi

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引用次数: 3

摘要

通过对10例产科并发症(6例胎盘早剥，3例胎盘碎片残留，1例宫内胎儿死亡延长)后急性肾功能衰竭(ARF)的系列凝血研究，证实了产后早期弥散性血管内凝血(DIC)。无论采用何种治疗方案，DIC均在48小时内消退。肾损害的证据是不同天数的少尿(6例)或多尿(4例)ARF，总是需要透析治疗。肾脏完全恢复9例。1例患者死亡，未进行组织学研究。肾损害与DIC的相关性似乎小于与贫血和休克程度的相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acute renal failure in obstetric complications.

Early postpartum disseminated intravascular coagulation (DIC) was demonstrated by serial coagulation studies in 10 cases of acute renal failure (ARF) following obstetric complications (6 abruptio placentae, 3 retained placental fragments, 1 prolonged intrauterine fetal death). DIC abated within 48 hours irrespective of the therapeutic schedules employed. Renal damage was evidenced by a varying number of days of oligoanuric (6 cases) or polyuric (4 cases) ARF which always required dialytic treatment. Full renal recovery occurred in 9 cases. One patient died and no histological studies were performed. Renal damage seemed to correlate less with DIC than with the degree of anemia and shock.

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Biological research in pregnancy and perinatology

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