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本文报道4例肾移植后妊娠的结局。2例肾移植术后1年内妊娠,在孕7周时因肾功能恶化而行人工流产;2例分别于术后20个月和32个月妊娠成功,妊娠晚期均出现妊高征,分别于孕36~(+3)周和38~(+1)周行剖宫产术,新生儿均存活。本文提示:肾移植妇女应选择术后肾功能正常状态下的第2～4年妊娠,产科监护和处理的重点在于预防和治疗其产科并发症及肾功能的动态监测,选择适当的方式,适时终止妊娠,产后应避免过度劳累,防止移植肾的功能恶化。
This article reports the outcome of 4 cases of pregnancy after kidney transplantation. 2 cases of pregnancy within 1 year after renal transplantation, due to deteriorating renal function at 7 weeks of pregnancy induced abortion; 2 cases were successful at 20 months and 32 months after pregnancy, pregnancy-induced pregnancy induced hypertension, respectively, at Pregnancy 36 ~ (+3) weeks and 38 ~ (+1) weeks of cesarean section, neonatal survival. This article suggests that: kidney transplant women should choose the second to fourth year after normal renal function pregnancy, obstetric care and treatment focus on the prevention and treatment of obstetric complications and renal function of dynamic monitoring, select the appropriate way, timely Termination of pregnancy, postpartum should avoid over exertion, to prevent the function of renal transplant deterioration.