妊娠期非典型溶血性尿毒症综合征的回顾性研究

A. Mansour, Mostafa Abd Elnasier Abd Elgawad
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摘要

目的:对22例妊娠期不典型溶血性尿毒症综合征的临床特点及预后进行回顾性研究。方法:回顾性研究22例妊娠期不典型溶血性尿毒症综合征从Demerdash妇产医院记录采用不同的管理方案的分析方式。结果:12例患者接受血浆置换治疗,仅8例对肾脏反应有良好影响。相反,10例采用大剂量血浆输注治疗,7例肾反应良好,治疗病例中肾功能恢复。结论:本研究显示大剂量血浆输注治疗非典型溶血性尿毒综合征疗效显著。虽然治疗性血浆置换是溶血性尿毒综合征的推荐治疗方法,但这一繁琐的程序可能不适用于所有紧急情况下的患者。在这种情况下,血浆输注可能是一种替代的一线治疗。
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Retrospective Research exploring gestational atypical hemolytic uremic syndrome
Aim: A retrospective research study revealing clinical features and prognostic parameters of 22 cases of gestational atypical hemolytic uremic syndrome. Methodology: A retrospective research study in an analytical manner of 22 cases of gestational Atypical hemolytic uremic syndrome from the Demerdash Maternity Hospital records using diverse management protocols. Results: 12 cases underwent plasma exchange management protocol with a favourable impact regarding renal response in only 8 cases. On the contrary, 10 cases were managed with high dose plasma infusion with an excellent renal response in 7 cases by regaining renal functional capacity in managed cases. Conclusion: The research performed by our group revealed considerable effectiveness of high dose therapy plasma infusion management of atypical HUS. Although therapeutic plasma exchange is the recommended treatment of HUS, this cumbersome procedure may not be available for all patients in an emergency. In this context, plasma infusion may represent an alternative first-line therapy.
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