IR@PKUHSC  > 北京大学第三临床医学院  > 呼吸科
学科主题临床医学
A successful pregnancy and parturition in a patient with anuria undergoing maintenance hemodialysis for 6 years: a case report of a 3-year-follow-up
Yu, Panxi1,2,3; Diao, Wenqi3,4; Tang, Qionglan5; Jiang, Xuefeng6
关键词Pregnancy Hemodialysis Chronic Renal Failure
刊名BMC PREGNANCY AND CHILDBIRTH
2015-09-14
DOI10.1186/s12884-015-0642-9
15
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
关键词[WOS]CHRONIC KIDNEY-DISEASE ; CHRONIC DIALYSIS ; GESTATIONAL-AGE ; WOMEN ; MANAGEMENT ; BIRTH ; METAANALYSIS ; EXPERIENCE ; OUTCOMES ; ASPIRIN
英文摘要

Background: Pregnancies in hemodialysis patients are uncommon and difficult to study. Although the chance of a successful pregnancy and parturition in hemodialysis women has increased over the years, it still remains extremely low with a high maternal and fetal mortality and morbidity rate.

Case presentation: We reported a case of successful pregnancy and parturition in a 22-year-old Chinese female in uremic stage of chronic renal failure and undergoing maintenance hemodialysis (three sessions a week) for 6 years. At the 22nd gestational week, she was diagnosed as pregnant by ultrasound, and started an enhanced hemodialysis routine (Five sessions a week). At the 32nd gestational week, she got hospitalized and received hemodialysis more frequently (seven sessions a week). Based on the initial diagnoses, including uremic stage of chronic renal failure, stage-3 hypertension, single pregnancy of 32nd gestational week, single umbilical artery and polyhydramnios, a drug therapy consisting of compound amino acid, fructosediphosphate sodium, 10 % L-carnitine, erythropoietin, polyferose, amlodipine, isosorbidedinitrate, low-molecular weight-heparin, multivitamins and folic acid was given, and daily examination of the mother and fetus was performed. Under the joint efforts of various departments, the patient underwent caesarean section at the 34th gestational week due to progressive uterine contraction and gave birth to a female, well-being baby weighing 1470 g. It has been more than 3 years since the parturition. The mother has returned to the previous hemodialysis routine, and the child has been growing up healthily.

Conclusion: Although pregnancy in hemodialysis patients is rare, with a high rate of risks. Patients could still gain a good outcome, if we intensify hemodialysis and enhance the collaboration between the patient, nephrologists, obstetricians, neonatologist, nutritionists, and other departments.

语种英语
WOS记录号WOS:000361093300001
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54701
专题北京大学第三临床医学院_呼吸科
作者单位1.Chinese Acad Med Sci, Plast Surg Hosp, Beijing 100730, Peoples R China
2.Peking Union Med Coll, Beijing 100021, Peoples R China
3.Ji Nan Univ, Int Sch, Dept Clin Med, Guangzhou, Guangdong, Peoples R China
4.Peking Univ, Hosp 3, Dept Resp Med, Beijing 100871, Peoples R China
5.Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Pathol, Guangzhou 510275, Guangdong, Peoples R China
6.Ji Nan Univ, Affiliated Hosp 1, Dept Obstet & Gynecol, Guangzhou, Guangdong, Peoples R China
推荐引用方式
GB/T 7714
Yu, Panxi,Diao, Wenqi,Tang, Qionglan,et al. A successful pregnancy and parturition in a patient with anuria undergoing maintenance hemodialysis for 6 years: a case report of a 3-year-follow-up[J]. BMC PREGNANCY AND CHILDBIRTH,2015,15.
APA Yu, Panxi,Diao, Wenqi,Tang, Qionglan,&Jiang, Xuefeng.(2015).A successful pregnancy and parturition in a patient with anuria undergoing maintenance hemodialysis for 6 years: a case report of a 3-year-follow-up.BMC PREGNANCY AND CHILDBIRTH,15.
MLA Yu, Panxi,et al."A successful pregnancy and parturition in a patient with anuria undergoing maintenance hemodialysis for 6 years: a case report of a 3-year-follow-up".BMC PREGNANCY AND CHILDBIRTH 15(2015).
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Yu, Panxi]的文章
[Diao, Wenqi]的文章
[Tang, Qionglan]的文章
百度学术
百度学术中相似的文章
[Yu, Panxi]的文章
[Diao, Wenqi]的文章
[Tang, Qionglan]的文章
必应学术
必应学术中相似的文章
[Yu, Panxi]的文章
[Diao, Wenqi]的文章
[Tang, Qionglan]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。