妊娠合并狼疮性肾炎的诊治  

Clinical Analysis of Pregnant Women with Lupus Nephritis

作　　者：陈珊莹[1] 吴彼得[1] 连学坚[1] 陈文腾[1] 周雪丽[1] 黄春鸿[1] 柳岚岚[1] 张秀安[1] 陈春明[1] 

机构地区：[1]福建医科大学附属漳州市医院肾内科,福建省漳州市363000

出　　处：《中国全科医学》2009年第8期657-659,共3页Chinese General Practice

摘　　要：目的总结妊娠合并狼疮性肾炎的诊治方法。方法回顾性分析19例妊娠合并狼疮性肾炎患者的临床资料,探讨其诊断与治疗方法。结果综合分析患者的临床表现及免疫学等相关实验室检查结果可以确诊。经糖皮质激素等治疗后,17例患者病情好转出院,1例患者拒绝终止妊娠出院后失访,1例患者自动出院。19例患者共妊娠22例次,其中活产8例次,治疗性流产/引产、死胎共12例次,非医疗原因流产1例次,失访1例次。结论将临床表现和实验室检查结合易做出诊断,可给予糖皮质激素等治疗。狼疮性肾炎并非妊娠的禁忌证,但妊娠期间有可能出现狼疮活动、病情恶化,胎儿的流产、早产、宫内发育迟缓的比例也较高,应适时终止妊娠。Objective To study the diagnosis and treatment of pregnant women with lupus nephritis.Methods The clinical data of 19 cases of pregnant women with lupus nephritis were analyzed retrospectively.Results after glucocorticoid treatment,17 patients were improved and discharged,1 refused termination of pregnancy,1 left hospital without permission.Nineteen patients had 22 pregnancies altogether,including 8 live births,12 therapeutic abortions or induced labors,2 stillbirths,1 non-medical abortion and 1 lost follow...

关 键 词：妊娠 狼疮肾炎 诊断 治疗 

分 类 号：R59[医药卫生—内科学]