Acute renal failure in pregnancy

doi:10.3877/cma.j.issn.2095-3259.2017.02.004

Abstract

Abstract:

Acute renal failure in pregnancy can develop to irreversible renal impairment quickly, so much as multiple organ failure. After understanding its etiology and high risk factors, the inducement should be eliminated actively and the primary disease should be treated to improve the prognosis of mother and baby. This article elaborates the pathogeny, diagnosis and treatment of pregnancy with acute renal failure.

Key words: Kidney Failure, Pregnancy, high-risk, Multiple organ failure, Renal dialysis

Jiayu Zhu, Mei Zhong. Acute renal failure in pregnancy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2017, 06(02): 79-82.

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References 18

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分期	临床表现	持续时间	血肌酐	尿量
少尿期	尿量减少、进行性氮质血症、水中毒、高钾血症、高磷血症、低钙血症、代谢性酸中毒；此外，高血压、心衰、心律失常及心包炎	1～2周	≥50%	<0.5 ml/(kg·h)
多尿期	进行性尿量增多，提示肾功能开始恢复，但仍需警惕氮质血症及电解质紊乱的发生；此外，此期易发生感染、心血管系统并发症及上消化道出血等	1～3周甚至更长时间	>200%～300%	<0.5 ml/(kg·h)
恢复期	尿量逐渐减少，血尿素氮及肌酐接近正常	3～12个月	>300%	少尿<0.3 ml/(kg·h)或无尿>12 h

分期	临床表现	持续时间	血肌酐	尿量
少尿期	尿量减少、进行性氮质血症、水中毒、高钾血症、高磷血症、低钙血症、代谢性酸中毒；此外，高血压、心衰、心律失常及心包炎	1～2周	≥50%	<0.5 ml/(kg·h)
多尿期	进行性尿量增多，提示肾功能开始恢复，但仍需警惕氮质血症及电解质紊乱的发生；此外，此期易发生感染、心血管系统并发症及上消化道出血等	1～3周甚至更长时间	>200%～300%	<0.5 ml/(kg·h)
恢复期	尿量逐渐减少，血尿素氮及肌酐接近正常	3～12个月	>300%	少尿<0.3 ml/(kg·h)或无尿>12 h

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