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学科主题: 临床医学
题名:
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
作者: 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
发表日期: 2015-09-14
DOI: 10.1186/s12884-015-0642-9
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54701
Appears in Collections:北京大学第三临床医学院_呼吸内科_期刊论文

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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

Recommended Citation:
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.
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