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急性肾衰既可是妊娠高血压综合征的并发症,又可是妊娠高血压综合征并发症的并发症,因此,必须警惕其发生。由于产科情况而发生的急性肾功衰竭(ARF)少见,但极为严重。据国内外统计,其发病率大约在1∶2000～1∶6000;可发生于妊娠剧吐(严重脱水失盐)、前置胎盘、胎盘早期剥离、产后或流产引起的大出血性(急性循环功能障碍)或感染性休克、羊水栓塞、重度妊娠高血压综合征(妊高征)等,其中62％伴发于妊高征(Smith)。重度妊高征指先兆子痫与子痫。要了解其所以易于伴发ARF及如何处理,当从ARF的发病机理
Acute renal failure can be both complications of pregnancy-induced hypertension, but also complications of pregnancy-induced hypertension syndrome, therefore, we must guard against its occurrence. Acute renal failure (ARF) due to obstetric conditions is rare but extremely serious. According to statistics at home and abroad, the incidence of about 1: 2000 ~ 1: 6000; can occur in hyperemesis gravidarum (severe dehydration and salt loss), placenta previa, early placental detachment, postpartum or miscarriage caused by hemorrhagic (acute circulatory function Disorder) or septic shock, amniotic fluid embolism, severe pregnancy-induced hypertension (PIH), 62% of them are associated with pregnancy-induced hypertension (Smith). Severe pregnancy-induced hypertension refers to pre-eclampsia and eclampsia. To understand why it is easy to accompany with ARF and how to deal with it when starting from the pathogenesis of ARF