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本文对田纳西州孟菲斯市妇产科医院和围产中心1977～1989年间收治的31例妊娠高血压合并急性肾衰患者进行分析讨论。根据高血压和肾损害的出现时间将患者分为单纯先兆子痫-子痫组(简称单纯组共18例)和慢性高血压-肾损组(简称高血压-肾损组,共12例13次妊娠)。单纯组指孕20周后出现血压升高的先兆子痫-子痫患者。高血压-肾损组为孕前即有肾损害(7例)或/和高血压的孕妇。急性肾衰诊断依靠临床表现和实验室检查结
This article analyzes and discusses 31 patients with pregnancy-induced hypertension complicated with acute renal failure who were admitted to the Obstetrics and Gynecology Hospital of Memphis, Tennessee, and the perinatal center between 1977 and 1989. The patients were divided into simple preeclampsia-eclampsia group (18 cases for simple group) and chronic hypertension-renal damage group (12 cases for hypertension-renal impairment group) according to the time of onset of hypertension and renal damage Second pregnancy). Simple group refers to pre-eclampsia - eclampsia patients with elevated blood pressure after 20 weeks of gestation. Hypertension - renal impairment group had renal damage before pregnancy (n = 7) and / or high blood pressure in pregnant women. Diagnosis of acute renal failure depends on clinical manifestations and laboratory tests