妊娠合并急性肾功能衰竭的护理体会  

Clinical Nursing for Pregnancy Complicated with Acute Renal Failure

作　　者：陈亮[1] 陈静[1] 魏丽[1] CHEN Liang,CHEN Jing,WEI Li（Hemodialysis room,Department of nephrology,Shanghai Changzheng Hospital,Second Military Medical University,Shanghai 200003,China）

机构地区：[1]第二军医大学附属长征医院肾内科血透室,上海200003

出　　处：《医学信息》2011年第4期641-642,共2页Journal of Medical Information

摘　　要：目的探讨妊娠合并急性肾功能衰竭（ARF）的有效护理对降低母婴死亡率的作用。方法对2004年6月～2010年8月收治入院的9例妊娠合并ARF患者进行回顾性分析。结果治愈出院8例,死亡1例。结论妊娠高血压综合征、胎盘早剥、前置胎盘以及重度感染是妊娠合并急性肾功能衰竭的常见诱因,积极治疗原发病和早期进行血液透析治疗是降低母婴死亡率的关键,密切观察病情,做好基础护理和心理护理,兼顾透析护理和产科护理,方可有效提高母婴的生存率。Objective To discuss the role of effective nursing in reducing maternal and infant mortality of pregnancy complicated with acute renal failure（ARF）.Method 9 pregnant women with ARF admitted to hospital from June 2004 to August 2010 were retrospectively analyzed.Results 8 cases were cured,1 died.Conclusion Pregnancy induced hypertension,placental abruption,placenta previa,and severe infection are common causes of pregnancy complicated with acute renal failure,treatment of the primary disease and early hemodialysis treatment is the key to reducing maternal mortality,close observation of disease,good basic nursing and psychological care,both dialysis care and obstetric care are crucial to effectively improving mother-infant survival rate.

关 键 词：妊娠 急性肾功能衰竭 血液透析 护理 

分 类 号：R714.246[医药卫生—妇产科学;医药卫生—临床医学]