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目的对产科急性肾功能衰竭的病因、治疗、预后进行探讨。方法对天津市第一中心医院ICU2000年1月至2006年8月收治的35例产科急性肾功能衰竭患者的临床资料进行回顾性分析。结果35例患者中妊娠急性脂肪肝10例(28.57%)、妊娠期高血压疾病7例(20.00%)、HELLP综合征5例(14.29%)、宫腔感染4例(11.43%)、产后大出血3例(8.57%)、溶血尿毒综合征3例(8.57%)、胎盘早剥3例(8.57%)。除3例自动出院,均治愈。结论产科急性肾功能衰竭发病有其特殊性,早期诊断、及时终止妊娠,去除诱因及血液净化治疗是治疗成功的关键。
Objective To investigate the causes, treatment and prognosis of obstetric acute renal failure. Methods The clinical data of 35 patients with obstetric acute renal failure admitted to the First Central Hospital of Tianjin from January 2000 to August 2006 were retrospectively analyzed. Results Among the 35 patients, 10 cases (28.57%) had acute fatty liver in pregnancy, 7 cases (20.00%) had hypertensive disorder complicating pregnancy, 5 cases (14.29%) had HELLP syndrome, 4 cases (11.43%) had uterine cavity infection, 3 cases (8.57%), hemolytic uremic syndrome in 3 cases (8.57%) and placental abruption in 3 cases (8.57%). In addition to 3 cases were discharged automatically, were cured. Conclusions Obstetric acute renal failure has its own particularity. Early diagnosis, timely termination of pregnancy, removal of causes and blood purification are the keys to successful treatment.